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1225013048
STACEY SUSTALA WEBSTER
HOUSTON, TX
NPI
1225013048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04536)
Enumeration Date
2005-12-14
Last Update Date
2019-10-31
Business Address
Mrs. STACEY SUSTALA WEBSTER PA-C
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
Mrs. STACEY SUSTALA WEBSTER PA-C
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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