Individual
DR. ANU SURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
580 S DENTON TAP RD STE 123, COPPELL, TX 75019-4099
(972) 462-0762
(972) 393-2133
Mailing address
580 S DENTON TAP RD STE 123, COPPELL, TX 75019-4099
(972) 462-0762
(972) 393-2133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487817151
GROUP NPI
TX
01
—
8BL892
BCBS
TX
01
—
DN8858
RR MCR GRP PTAN
TX
Enumeration date
05/18/2007
Last updated
07/21/2022
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