Perry, Susanna Claire
Perry, Susanna Claire is an individual health care provider with primary practice located at 6363 N State Highway 161 Ste 100 , Irving TX 75038-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Perry, Susanna Claire can be contacted via phone (469) 200-3272.Contact Information
Primary practice address
6363 N State Highway 161 Ste 100
Irving TX 75038-2239
Phone: (469) 200-3272
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 721960 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP136143 | Texas |
Profile Details
NPI number | 1871008045 |
---|---|
LBN Legal business name | Perry, Susanna Claire |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 9th, 2017 |
Last updated | Jan 19th, 2023 - about last year |
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 | 1871008045 | NPPES |
Texas | MEDICAID | 378953902 |
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