Individual
SUSANA CALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
46824
TX
2085R0202X
Diagnostic Radiology Physician
Primary
46824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402172701
—
TX
01
—
402172702
CSHCN (MEDICAID)
TX
01
—
8LQ058
BCBS
TX
Enumeration date
05/11/2015
Last updated
03/12/2020
Update your record
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