Anderson, Susan Garza

Anderson, Susan Garza is an sole proprietor health care provider with primary practice located at 1311 Westmont Ct , Southlake TX 76092-7814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Susan Garza can be contacted via phone (214) 458-1483.

Contact Information

Primary practice address
1311 Westmont Ct Southlake TX 76092-7814
Phone: (214) 458-1483
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K6461 Texas

Profile Details

NPI number 1114927118
LBN Legal business name Anderson, Susan Garza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Jan 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114927118 NPPES
Texas MEDICAID 131144109
Texas MEDICAID 131144113
Texas MEDICAID 131144118
Texas MEDICAID 131144112
Texas MEDICAID 131144114
Texas MEDICAID 131144121
Texas MEDICAID 131144116
Texas MEDICAID 131144122
Texas MEDICAID 131144120
Texas MEDICAID 131144110
Texas MEDICAID 131144115
Texas MEDICAID 131144119
Texas MEDICAID 179236801
Texas Other 8A0122

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