Provider Demographics
NPI:1720098601
Name:MUSTIFUL-JAMES, PATRICIA A II
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:MUSTIFUL-JAMES
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 821161
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77282-1161
Mailing Address - Country:US
Mailing Address - Phone:504-296-6161
Mailing Address - Fax:
Practice Address - Street 1:9940 RICHMOND AVE
Practice Address - Street 2:APT. 1054
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4560
Practice Address - Country:US
Practice Address - Phone:504-296-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital