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Organization
SUZANNE E MONDAY MD
Active
Organization
SUZANNE E MONDAY MD
Active
Parent organization
DEE G MCCRARY JR MD
Other names
GREENVILLE HEALTHCARE ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEE G MCCRARY JR MD
Authorized official
DEE AYAD (OFFICE ADMINISTRATOR)
(903) 454-8111
Entity
Organization
Contact information
Practice address
1700 WASHINGTON ST, COMMERCE, TX 75428-3034
(903) 886-9900
(903) 886-9924
Mailing address
PO BOX 8128, GREENVILLE, TX 75404-8128
(903) 454-8111
(903) 886-9924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J6584
TX
207Q00000X
Family Medicine Physician
Primary
K9358
TX
363LF0000X
Family Nurse Practitioner
225319
TX
363LF0000X
Family Nurse Practitioner
660449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087JY
BCBS OF TEXAS
TX
05
—
163200202
—
TX
01
—
DA2786
RAILROAD MEDICARE
TX
Enumeration date
02/07/2007
Last updated
07/09/2008
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