Individual
DR. SUSAN K CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15605 FOX RUN DR, AUSTIN, TX 78737-8604
(512) 484-4005
Mailing address
15605 FOX RUN DR, AUSTIN, TX 78737-8604
(512) 484-4005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
440977
TX
363L00000X
Nurse Practitioner
N4358
TX
363LF0000X
Family Nurse Practitioner
061008
MO
363LF0000X
Family Nurse Practitioner
440977
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
440977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207171401
—
TX
05
—
207171402
—
TX
Enumeration date
07/13/2006
Last updated
07/16/2012
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