Individual
CAROLYN MARIE SUSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
5223 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4463
(210) 614-1234
(210) 614-0952
Mailing address
8415 DATAPOINT DR STE 700, SAN ANTONIO, TX 78229-3327
(210) 614-1234
(210) 614-0952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1058056
TX
Other
Enumeration date
11/17/2021
Last updated
12/21/2021
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