Individual
MR. NATHAN JOSEPH SUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, LPO
Contact information
Practice address
6011 HARRY HINES BLVD, SUITE V2.302, DALLAS, TX 75390-9091
(214) 645-8250
(214) 645-8258
Mailing address
6011 HARRY HINES BLVD., SUITE V2.302, DALLAS, TX 75390-9091
(214) 645-8250
(214) 645-8258
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO004984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086893706
—
TX
Enumeration date
08/08/2011
Last updated
09/16/2011
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