GRACE RUSTOM

GALVESTON, TX
NPI1154114478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  BP10094059)
Enumeration Date2025-05-28
Last Update Date2025-05-28
Business Address
GRACE RUSTOM
712 TEXAS AVE
GALVESTON, TX 77555-0001
Phone number: 409-772-2222
Mailing Address
GRACE RUSTOM
301 UNIVERSITY BLVD
GALVESTON, TX 77555-5302
Phone number: