Individual
SUSAN WILLIG FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 GARTH RD, BAYTOWN, TX 77521-3947
(281) 427-3700
Mailing address
319 HAWTHORNE ST, HOUSTON, TX 77006-4007
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
H7012
TX
Other
Enumeration date
07/14/2006
Last updated
01/05/2011
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