Brister, Susan
Brister, Susan is an individual health care provider with primary practice located at 2700 Pecan St W Ste 102, Pflugerville TX 78660-3199. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brister, Susan can be contacted via phone (512) 421-3750.Contact Information
Primary practice address
2700 Pecan St W Ste 102
Pflugerville TX 78660-3199
Phone: (512) 421-3750
Fax: (512) 421-3751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L9111 | Texas |
Profile Details
| NPI number | 1033178751 |
|---|---|
| LBN Legal business name | Brister, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Dec 2nd, 2016 - about 9 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 | 1033178751 | NPPES |
| Texas | Other | 314182YLPS | WELLMED PTAN |
| Texas | MEDICAID | 1703035-01 | WELLMED PTAN |
| Texas | Other | P00164042 | WELLMED PTAN |
| Texas | MEDICAID | 170303504 | WELLMED PTAN |
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