John, Susan D

John, Susan D is an individual health care provider with primary practice located at 6431 Fannin St , Houston TX 77030-1501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. John, Susan D can be contacted via phone (713) 500-7626.

Contact Information

Primary practice address
6431 Fannin St Houston TX 77030-1501
Phone: (713) 500-7626
Fax: (713) 500-7639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X G8435 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G8435 Texas

Profile Details

NPI number 1871536805
LBN Legal business name John, Susan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 22nd, 2022 - about 2 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 1871536805 NPPES
Texas Other 82445R BCBS
Texas Other 138212902 BCBS
Texas MEDICAID 138212917 BCBS
Texas MEDICAID 138212918 BCBS
Texas Other 138212914 BCBS

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