DR. Tracy Lee Gustafson, M.D.

NPI #1295035863 in Livingston, Texas

Provider Information

NPI Number: 1295035863
Entity Type: Individual
Name: DR. Tracy Lee Gustafson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Oct 28, 2010
Last Updated: Apr 13, 2014

Practice Location

Address: 151 RAINBOW DR
Address 2: APT #5152
City: Livingston
State: Texas
ZIP Code: 77399-1571
Phone: (936) 933-9593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X

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