Czelusta, Adam J

Czelusta, Adam J is an sole proprietor health care provider with primary practice located at 21310 Provincial Blvd , Katy TX 77450-7580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Czelusta, Adam J can be contacted via phone (281) 599-0404.

Contact Information

Primary practice address
21310 Provincial Blvd Katy TX 77450-7580
Phone: (281) 599-0404
Fax: (281) 599-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X L5711 Texas

Profile Details

NPI number 1033110929
LBN Legal business name Czelusta, Adam J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Sep 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033110929 NPPES
Texas Other 4325669 CIGNA
Texas Other 7039471 CIGNA
Texas Other 8M9030 CIGNA
Texas MEDICAID 159655302 CIGNA

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