Individual
SUSAN ELIZABETH MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5904 SUMMERFIELD DR, TEXARKANA, TX 75503-4306
(430) 200-4350
(866) 337-1615
Mailing address
5904 SUMMERFIELD DR, TEXARKANA, TX 75503-4306
(430) 200-4350
(866) 337-1615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP116650
TX
363LF0000X
Family Nurse Practitioner
652379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193546203
—
TX
Enumeration date
03/17/2008
Last updated
01/27/2025
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