Dr. Adam J Czelusta
Dermatologist
21310 Provincial Blvd
Katy
, Texas 77450-7580
Dr. Adam J Czelusta
Dermatologist
21310 Provincial Blvd
Katy
, Texas 77450-7580
(281) 599-1655
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Adam J Czelusta
- 21310 Provincial Blvd
- Katy, TX
- Zip : 77450-7580
- Fax : (281) 599-1655
- Phone : (281) 599-0404
Second Address
- Dr. Adam J Czelusta
- 21310 Provincial Blvd
- Katy, TX
- Zip : 77450-7580
- Fax : (281) 599-1655
- Phone : (281) 599-0404
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | L5711 | TX |
National Provider Identifier
| NPI | 1033110929 |
|---|---|
| Provider Name | Dr. Adam J Czelusta |
| First Address | Katy, TX 77450-7580 |
| Second Address | Katy, TX 77450-7580 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 21/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 159655302 | (05) | TX |
| 4325669 | CIGNA (01) | TX |
| 7039471 | AETNA (01) | TX |
| 8M9030 | BCBS (01) | TX |
| H91062 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.