Provider Demographics
NPI:1407353055
Name:LUSE, DUSTIN C (MD)
Entity Type:Individual
Prefix:
First Name:DUSTIN
Middle Name:C
Last Name:LUSE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1315 ST JOSEPH PKWY STE 1502
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8327
Mailing Address - Country:US
Mailing Address - Phone:713-650-1502
Mailing Address - Fax:713-751-1633
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1502
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8327
Practice Address - Country:US
Practice Address - Phone:713-650-1502
Practice Address - Fax:713-751-1633
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2024-01-08
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Provider Licenses
StateLicense IDTaxonomies
TXU3285208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology