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Individual

MS. SUSAN M MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-9355
(210) 567-5903
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-9355

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
543599
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP105062
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029150203
TX
01
029150204
CSHCN
TX
Enumeration date
04/10/2007
Last updated
05/26/2017
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