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Individual
SUSAN FAGG REED
Active
Individual
SUSAN FAGG REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L9445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100898104
—
TX
Enumeration date
08/31/2006
Last updated
05/17/2011
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