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Individual
SUZANNE N. NORTHCUTT
Active
Individual
SUZANNE N. NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L0154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159300A
—
OK
05
—
106163201
—
TX
05
—
106163202
—
TX
01
—
112357100
FIRSTCARE COMMERCIAL
TX
05
—
112357102
—
TX
01
—
69256
PRESBYTERIAN COMMERCIAL
NM
05
—
69256
—
NM
01
—
82631X
BLUE CROSS & BLUE SHIELD
TX
01
—
84337Z
HMO BLUE
TX
01
—
A401
TRIWEST
—
05
—
G0808
—
NM
Enumeration date
06/27/2005
Last updated
12/09/2021
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