NPI 1003113770

Amy D Sustaita

Practitioner Physician Assistant Marshall, TX

Practice location

Address: 815 S Washington Ave STE 100, Marshall, TX 75670-5316
Phone: (903) 927-6800
Mailing address: 304 Medic Ln STE B, Alvin, TX 77511-5894

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA07123 (TX)

Other Physician Assistant providers in Texas →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1003113770
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2011
Record last updated: 16 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.