Individual
BEN L SUEOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
L8207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167520901
—
TX
01
—
P00145467
MEDICARE-RAILROAD
TX
Enumeration date
06/22/2005
Last updated
05/09/2025
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