Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY LEE GUSTAFSON, M.D.
Active Sole ProprietorDR. TRACY LEE GUSTAFSON, M.D. is a Pediatrics healthcare provider located in LIVINGSTON, Texas. NPI 1295035863 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · LIVINGSTON, TX
Registration Details
- NPI Number
- 1295035863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2010 (15.75423285435 yrs)
- Last Updated
- Apr 13, 2014
- Licenses
-
G2143 (TX)G2143 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
151 RAINBOW DRAPT #5152LIVINGSTON, TX, 773991571Browse TX providers · Browse ZIP 77399
- Phone
- 9369339593
- Fax
- 2817153202
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Public Health & General Preventive Medicine
Other Pediatrics Providers in LIVINGSTON, TX
| Name | Credential | NPI |
|---|---|---|
| DR. SINGARAJU KATARI | M.D. | 1013912245 |
| DR. KARON YOUNG-LIGHTBODY | MD | 1972608529 |
| KUMARI K. WEERATUNGE | M.D. | 1689844243 |
| RESHMIBHAT PARAMESWARANUNNI | — | 1255890182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.