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Individual
MRS. SUZANNE DAWSON TERRELL
Active
Individual
MRS. SUZANNE DAWSON TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
540042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314402402
—
TX
01
—
75-2616977-121
TRICARE
TX
01
—
8192NA
BCBS BLUE
TX
01
—
P01200612
RAIL ROAD
TX
Enumeration date
11/02/2009
Last updated
10/14/2014
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