Dr. Carla Gustovich
Dermatologist
5805 Coit Rd Suite 203
Plano
, Texas 75093-6989
Dr. Carla Gustovich
Dermatologist
5805 Coit Rd Suite 203
Plano
, Texas 75093-6989
(972) 769-8180
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Carla Gustovich
- 5805 Coit Rd Suite 203
- Plano, TX
- Zip : 75093-6989
- Phone : (972) 769-8180
Second Address
- Dr. Carla Gustovich
- 5805 Coit Rd Suite 203
- Plano, TX
- Zip : 75093-6989
- Phone : (972) 769-8180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | L6625 | TX |
National Provider Identifier
| NPI | 1003981044 |
|---|---|
| Provider Name | Dr. Carla Gustovich |
| First Address | Plano, TX 75093-6989 |
| Second Address | Plano, TX 75093-6989 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 13/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I21640 | (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.