Amy D. Sustaita

Physician Assistant · Marshall, TX

Individual Active NPI

NPI number 1003113770

Practice location

815 S Washington Ave Ste 100
Marshall, TX 75670-5316
Phone
(903) 927-6800

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NPI record

NPI
1003113770
Entity type
Individual (Type 1)
Enumeration date
February 16, 2011
Last updated
April 16, 2021
Certified
April 16, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA07123 TX
Physician Assistant 363A00000X — TX

Mailing address

304 Medic Ln
Ste B
Alvin, TX 77511-5894
Phone
(281) 331-2062
Fax
(281) 331-8070

Other practice locations (1)

  • 10950 Resource Pkwy, Suite A, Houston, TX 77089-6134 · (281) 484-5587

About Amy Sustaita

Amy D. Sustaita is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 815 S Washington Ave Ste 100, Marshall, TX 75670-5316. The NPI number 1003113770 was assigned on February 16, 2011 and the record was last updated on April 16, 2021.

Amy Sustaita lists a license in the registry: #PA07123 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amy D. Sustaita?

The NPI number is 1003113770.

What is the phone number of Amy Sustaita?

The phone number listed for the practice location is (903) 927-6800.

Where is Amy Sustaita located?

815 S Washington Ave Ste 100, Marshall, TX 75670-5316.

What is the taxonomy code for Amy Sustaita?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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