| Doctor Name: | DUSTIN MA |
| NPI Number: | 1083997894 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 1209017 |
| Business Practice Address: | 4009 Bellaire Blvd Suite M Houston, TX - 770251168 |
| Business Phone Number: | 7138397800 |
| Business Fax Number: | 7138397931 |
| Mailing Address: | 9000 Southwest Fwy, Suite 250 HOUSTON |
| State: | TX |
| Postal Code: | 770741526 |
| Phone Number: | 7137795800 |
| Fax Number: | 7137795885 |
| NPI Enumeration Date: | 09/28/2011 |
| NPI Last Update Date: | 09/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1209017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |