Individual
SUSAN CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3828 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
(512) 445-6457
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E6269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105142701
—
TX
05
—
105142703
—
TX
05
—
105142704
—
TX
Enumeration date
07/31/2006
Last updated
12/09/2010
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