# SUZANNE N. NORTHCUTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053317743
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | L0154 | TX | Yes |

## Other

- **Enumeration date:** 06/27/2005
- **Last updated:** 12/09/2021

## 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 |