Benedict Pustejovsky, | |
1600 University Dr E, College Station, TX 77840-2642 | |
(409) 691-3300 | |
Not Available |
Full Name | Benedict Pustejovsky |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1600 University Dr E, College Station, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992767065 | NPI | - | NPPES |
84452U | Other | TX | BLUE SHIELD |
P00281068 | Other | TX | RR/MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 235184 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Benedict Pustejovsky, Po Box 847556, Dallas, TX 75284-7556 Ph: (254) 724-2111 | Benedict Pustejovsky, 1600 University Dr E, College Station, TX 77840-2642 Ph: (409) 691-3300 |
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