Badaracco, Susan Marie
Badaracco, Susan Marie is an individual health care provider with primary practice located at 2200 Village Pkwy , Highland Village TX 75077-3327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Badaracco, Susan Marie can be contacted via phone (972) 317-6000.Contact Information
Primary practice address
2200 Village Pkwy
Highland Village TX 75077-3327
Phone: (972) 317-6000
Fax: (972) 317-6011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K2841 | Texas |
Profile Details
| NPI number | 1265493514 |
|---|---|
| LBN Legal business name | Badaracco, Susan Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 20th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265493514 | NPPES |
| Texas | MEDICAID | 043544801 |
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