Provider Demographics
NPI:1891181160
Name:MUSAU, PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:MUSAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 FERRY RD
Mailing Address - Street 2:303
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-3142
Mailing Address - Country:US
Mailing Address - Phone:214-455-7744
Mailing Address - Fax:
Practice Address - Street 1:710 FERRY RD
Practice Address - Street 2:303
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-3142
Practice Address - Country:US
Practice Address - Phone:214-455-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS4826207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty