Su, Maxwell

Su, Maxwell is an individual health care provider with primary practice located at 501 E Kolstad St , Palestine TX 75801-2352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Su, Maxwell can be contacted via phone (903) 723-3250.

Contact Information

Primary practice address
501 E Kolstad St Palestine TX 75801-2352
Phone: (903) 723-3250
Fax: (903) 723-5550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X BP20068130 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X T4277 Texas

Profile Details

NPI number 1518461722
LBN Legal business name Su, Maxwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Feb 20th, 2024 - about 10 months 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 1518461722 NPPES
Texas MEDICAID 437545301

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