Individual
SUSAN WOOTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-7111
(713) 512-2227
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
0101059072
VA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
M8437
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192014201
—
TX
01
—
192014202
CSHCN
TX
01
—
8X7055
BCBS
TX
Enumeration date
08/15/2007
Last updated
08/14/2008
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