Organization
THE SUCHOWIECKY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SUCHOWIECKY MD (MEDICAL DIRECTOR)
(713) 797-0077
Entity
Organization
Contact information
Practice address
7505 FANNIN ST STE 350, THE SUCHOWIECKY CENTER, HOUSTON, TX 77054-1954
(713) 792-0077
(713) 790-9564
Mailing address
PO BOX 200179, THE SUCHOWIECKY CENTER, HOUSTON, TX 77216-0179
(713) 797-0077
(713) 790-9564
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F2956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N70XS
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
10/26/2006
Last updated
01/28/2008
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