Individual
SUSAN SABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 ROUND ROCK AVE STE 150, ROUND ROCK, TX 78681-4019
(512) 341-8724
(512) 687-0295
Mailing address
1533 BARDELLA DR, LEANDER, TX 78641-3952
(512) 468-3741
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1071801
TX
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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