Individual
PARISA ANN SUTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7200 N STATE HWY 161, SUITE 220, IRVING, TX 75039
(214) 689-7806
(214) 689-5970
Mailing address
7200 N STATE HWY 161, SUITE 220, IRVING, TX 75039
(214) 689-7806
(214) 689-5970
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
K4335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175368301
—
TX
05
—
175368303
—
TX
01
—
175368304
MEDICAID OTHER
TX
01
—
TXB147582
MEDICARE
TX
Enumeration date
11/11/2005
Last updated
11/18/2014
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