Provider Demographics
NPI:1568721397
Name:NEUSTEIN, ADAM ZACHARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ZACHARY
Last Name:NEUSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:444 S SAN VICENTE BLVD STE 603
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:UTMB DEPARTMENT OF ORTHOPEDIC SURGERY
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0165
Practice Address - Country:US
Practice Address - Phone:409-747-5727
Practice Address - Fax:409-747-5715
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10044558207X00000X
CAA148265207X00000X
TXQ9453207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery