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Individual
PATRICIA SUPPES
Active
Individual
PATRICIA SUPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G87908
CA
2084P0800X
Psychiatry Physician
J2813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103208802
—
TX
Enumeration date
04/05/2006
Last updated
04/30/2024
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