SearchTexas207RC0000X

Mark Fasulo, MD

NPI 1366686487 · on the registry since 2009

Practice

Address
755 N 11th St
P2200
Beaumont, TX 77702
Phone
(409) 892-1192
Organisation at this address
Beaumont Asc, Lp
Ahmad Medical Pc
Coastal Pain Care Pa
Anesthesia Associates
Tamerla D Chavis Md,Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
131

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207R00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas