King, Susan Marenda

King, Susan Marenda is an individual health care provider with primary practice located at 21 Spurs Ln Suite 100, San Antonio TX 78240-1634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otology & Neurotology is her primary health care specialty. King, Susan Marenda can be contacted via phone (210) 614-6070.

Contact Information

Primary practice address
21 Spurs Ln Suite 100 San Antonio TX 78240-1634
Phone: (210) 614-6070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X H8230 Texas
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X H8230 Texas

Profile Details

NPI number 1396783528
LBN Legal business name King, Susan Marenda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396783528 NPPES
Texas MEDICAID 125771901
Texas MEDICAID 125771905

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