Wootton, Susan
Wootton, Susan is an individual health care provider with primary practice located at 6410 Fannin St 500, Houston TX 77030-3000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Wootton, Susan can be contacted via phone (832) 325-7111.Contact Information
Primary practice address
6410 Fannin St 500
Houston TX 77030-3000
Phone: (832) 325-7111
Fax: (713) 512-2227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 0101059072 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | M8437 | Texas |
Profile Details
| NPI number | 1144412917 |
|---|---|
| LBN Legal business name | Wootton, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Aug 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144412917 | NPPES |
| Texas | Other | 8X7055 | BCBS |
| Texas | Other | 192014202 | BCBS |
| Texas | MEDICAID | 192014201 | BCBS |
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