Dubois, Susan Kathleen

Dubois, Susan Kathleen is an individual health care provider with primary practice located at 2901 Montopolis Dr , Austin TX 78741-6411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Dubois, Susan Kathleen can be contacted via phone (512) 978-9901.

Contact Information

Primary practice address
2901 Montopolis Dr Austin TX 78741-6411
Phone: (512) 978-9901
Fax: (512) 901-9765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X H6178 Texas

Profile Details

NPI number 1114091675
LBN Legal business name Dubois, Susan Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jun 10th, 2016 - about 10 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 1114091675 NPPES
Texas MEDICAID 147296102
Texas Other 8U0684
Texas Other 743009528
Texas Other 8X7501

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