Individual
DR. ELIZABETH SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3201 UNIVERSITY DR E STE 425, BRYAN, TX 77802-3479
(979) 690-4828
(979) 690-4829
Mailing address
3201 UNIVERSITY DR E STE 425, BRYAN, TX 77802-3479
(979) 690-4828
(979) 690-4829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L9919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169010901
—
TX
01
—
8B7581
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00471011
MEDICARE RAILROAD
TX
Enumeration date
07/13/2006
Last updated
08/12/2015
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