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Individual
SUSAN HELEN CROUCH
Active
Individual
SUSAN HELEN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ENP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
645583
TX
363L00000X
Nurse Practitioner
Primary
AP114134
TX
363LA2100X
Acute Care Nurse Practitioner
645583
TX
363LF0000X
Family Nurse Practitioner
645583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366539058
TRICARE
TX
05
—
174535805
—
TX
05
—
174535812
—
TX
05
—
174535813
—
TX
01
—
8Y8731
BCBSTX
TX
Enumeration date
10/06/2006
Last updated
09/17/2021
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