Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tracy Lee Gustafson, MD

Individual provider Pediatrics Physician · NPI 1295035863

Dr. Tracy Lee Gustafson, MD is a Pediatrics Physician in Livingston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

151 Rainbow Dr Apt #5152
Livingston, TX 77399-1571
Phone: (936) 933-9593
Fax: (281) 715-3202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G2143 (TX)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence G2143 (TX)

Record details

NPI number1295035863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 28, 2010
Last updated in NPPESApril 13, 2014
Mailing address151 Rainbow Dr, Apt #5152, Livingston, TX 77399-1571

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