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Individual

DR. DAVEY P SUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2281 OLYMPIA DRIVE, SUITE 200, FLOWER MOUND, TX 75028
(972) 899-2170
(972) 899-2171
Mailing address
2281 OLYMPIA DRIVE, SUITE 200, FLOWER MOUND, TX 75028
(972) 899-2170
(972) 899-2171

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1581
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0092HD
BC/BS - GROUP
TX
05
1482929-01
TX
01
5509529
CIGNA
TX
01
7238347
AETNA
TX
01
8286623
BLUELINK
TX
Enumeration date
08/15/2005
Last updated
04/15/2010
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