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Individual

DR. STEVEN SUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6100 HARRIS PKWY, #140, FORT WORTH, TX 76132-4101
(817) 346-5336
(817) 346-5366
Mailing address
6100 HARRIS PKWY, #140, FORT WORTH, TX 76132-4101
(817) 346-5336
(817) 346-5366

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G8451
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131310803
TX
01
160046052
MEDICARE RAILROAD
TX
01
4227615
AETNA HMO
TX
01
82950X
BC/BS
TX
Enumeration date
06/15/2006
Last updated
06/06/2008
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