NPI age
7 years
Enumerated 2018-08-27
● Active Type 2 · Organization
Fustok Cosmetic And Reconstructive Surgery PA
Fustok Cosmetic And Reconstructive Surgery PA is 1 of 548 surgery organizations in Texas.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Diaz
Medical Billing Manager
Last NPPES update
2024-12-06
Source: monthly bulk 2026-05
How this organization compares
Across 548 active surgery providers in Texas.
NPI age
7 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
333 West Loop N Ste 410
Houston, TX 770247709
Mailing address
333 West Loop N Ste 410
Houston, TX 770247709
Authorized official
Jenni Diaz
Medical Billing Manager
📞 7136212950
Specialties
-
Surgery PrimaryA surgeon who specializes in plastic and reconstructive surgery.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | F4727 | STATE LICENSE |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.