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Individual
SUZANNE E MONDAY
Active
Individual
SUZANNE E MONDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285695701
—
TX
01
—
8EY894
BCBS
TX
01
—
TXB111773
PTAN
TX
Enumeration date
05/31/2005
Last updated
08/03/2016
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