Woodbury, Suzanne

Woodbury, Suzanne is an individual health care provider with primary practice located at 6621 Fannin St , Houston TX 77030-2303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Woodbury, Suzanne can be contacted via phone (832) 826-6105.

Contact Information

Primary practice address
6621 Fannin St Houston TX 77030-2303
Phone: (832) 826-6105
Fax: (832) 825-5242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X L9559 Texas

Profile Details

NPI number 1255411500
LBN Legal business name Woodbury, Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 5th, 2011 - about 15 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 1255411500 NPPES
Texas MEDICAID 173773601

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