Weathers, Susan W

Weathers, Susan W is an individual health care provider with primary practice located at 4600 E Sam Houston Pkwy S , Pasadena TX 77505-3948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Weathers, Susan W can be contacted via phone (713) 481-3533.

Contact Information

Primary practice address
4600 E Sam Houston Pkwy S Pasadena TX 77505-3948
Phone: (713) 481-3533
Fax: (713) 432-0221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F5795 Texas

Profile Details

NPI number 1043252133
LBN Legal business name Weathers, Susan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 3rd, 2009 - about 16 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 1043252133 NPPES
Texas MEDICAID 104795303
Texas MEDICAID 170160904
Texas MEDICAID 104795305
Texas MEDICAID 104795301
Texas Other 8AM786

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