# PAUL ANDREW SUENO MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194083956
- **Authorized official:** PAUL A SUENO MD (MEMBER)
- **Authorized official phone:** (253) 302-5189

## Contact information

- **Practice address:** 2411 S 19TH ST, TACOMA, WA 98405-2954
- **Practice address phone:** (253) 302-5189
- **Practice address fax:** (253) 302-5940
- **Mailing address:** PO BOX 110518, TACOMA, WA 98411-0518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD60252648 | WA | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 04/24/2013