| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHASITY CUSTER | 1235634213 | 2024-11-09 |
Chasity Custer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235634213. Registration indicates Chasity Custer is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics: Pediatric Critical Care Medicine, ) (Specialist Network, ) (Pediatrics Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians) (Pediatrics, )
| Entity Type | Individual |
| Provider Name | Chasity Custer MD |
| Practice Office Address | 1 BAYLOR PLZ # BCM320 HOUSTON, TX US |
| Practice Office Telephone | 8328241173 |
| Mailing Address | 1234 VAN VOORHIS RD APT C7 MORGANTOWN, WV 265053467 US |
| Business Telephone | 2084403690 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2080P0203X PRIMARY | Allopathic & Osteopathic Physicians Pediatrics Pediatrics: Pediatric Critical Care Medicine Specialist Network Pediatrics Pediatric Critical Care Medicine Allopathic & Osteopathic Physicians Pediatrics | T3064
TX |