Provider Demographics
NPI:1952797698
Name:TSUSAKI, REBECCA LOUISE (PHD, RN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LOUISE
Last Name:TSUSAKI
Suffix:
Gender:F
Credentials:PHD, RN, WHNP-BC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:BIRCH
Other - Last Name:TSUASKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, WHNP-BC
Mailing Address - Street 1:6901 BERTNER AVE RM 791
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3901
Mailing Address - Country:US
Mailing Address - Phone:713-500-2058
Mailing Address - Fax:713-500-2073
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:SUITE 4000
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2934
Practice Address - Country:US
Practice Address - Phone:713-512-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123693363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology