Callaway, Susan

Callaway, Susan is an individual health care provider with primary practice located at 3828 S 1St St , Austin TX 78704-7048. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Callaway, Susan can be contacted via phone (512) 443-1311.

Contact Information

Primary practice address
3828 S 1St St Austin TX 78704-7048
Phone: (512) 443-1311
Fax: (512) 445-6457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X E6269 Texas

Profile Details

NPI number 1083620363
LBN Legal business name Callaway, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 9th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083620363 NPPES
Texas MEDICAID 105142704
Texas MEDICAID 105142703
Texas MEDICAID 105142701

Popular Providers