Clifford, Susan
Clifford, Susan is an individual health care provider with primary practice located at 6750 N Macarthur Blvd Ste 150, Irving TX 75039-2875. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clifford, Susan can be contacted via phone (972) 373-0303.Contact Information
Primary practice address
6750 N Macarthur Blvd Ste 150
Irving TX 75039-2875
Phone: (972) 373-0303
Fax: (972) 373-8074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G3234 | Texas |
Profile Details
| NPI number | 1568402105 |
|---|---|
| LBN Legal business name | Clifford, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Oct 22nd, 2019 - about 5 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 | 1568402105 | NPPES |
| Texas | MEDICAID | 141951701 | |
| Texas | MEDICAID | 141951703 | |
| Texas | Other | 141951704 |
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