Amy D Sustaita

NPI #1003113770 in Marshall, Texas

Provider Information

NPI Number
1003113770
Entity Type
Individual
Name
Amy D Sustaita
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Feb 16, 2011
Last Updated
Apr 16, 2021

Practice Location

Address
815 S WASHINGTON AVE STE 100
State
Texas
ZIP Code
75670-5316
Phone
(903) 927-6800

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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