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Individual
SUSAN GARZA ANDERSON
Active
Individual
SUSAN GARZA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131144109
—
TX
05
—
131144110
—
TX
05
—
131144112
—
TX
05
—
131144113
—
TX
05
—
131144114
—
TX
05
—
131144115
—
TX
05
—
131144116
—
TX
05
—
131144118
—
TX
05
—
131144119
—
TX
05
—
131144120
—
TX
05
—
131144121
—
TX
05
—
131144122
—
TX
05
—
179236801
—
TX
01
—
8A0122
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/01/2005
Last updated
01/04/2012
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