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Individual
SUSAN H. SPALDING
Active
Individual
SUSAN H. SPALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J3233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139129401
—
TX
05
—
139129402
—
TX
05
—
139129403
—
TX
05
—
139129404
—
TX
05
—
139129405
—
TX
05
—
139129406
—
TX
05
—
139129407
—
TX
05
—
139129408
—
TX
05
—
139129410
—
TX
05
—
139129412
—
TX
05
—
139129413
—
TX
05
—
139129414
—
TX
05
—
139129416
—
TX
01
—
89G956
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/02/2005
Last updated
09/03/2009
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