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Individual

DR. DENISE WEATHERS SUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 790-1234
Mailing address
28602 HOFFMAN SPRING LN, FULSHEAR, TX 77441-1664
(513) 706-2555

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35076975S
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
Q9912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000270800
ANTHEM
OH
01
0704238
UNITED HEALTHCARE
OH
01
160057637
MEDICARE RAILROAD
OH
05
2336556
OH
01
288088
AMERIGROUP
OH
01
311575051042
CARESOURCE
OH
01
3119396
AETNA
OH
05
7100242570
KY
01
76975
HUMANA
OH
Enumeration date
05/24/2005
Last updated
11/11/2019
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