Individual
MRS. SUSAN MARENDA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 SPURS LN, SUITE 100, SAN ANTONIO, TX 78240-1634
(210) 614-6070
Mailing address
21 SPURS LN, SUITE 100, SAN ANTONIO, TX 78240-1669
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
H8230
TX
207YX0901X
Otology & Neurotology Physician
Primary
H8230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125771901
—
TX
05
—
125771905
—
TX
Enumeration date
06/02/2006
Last updated
12/13/2019
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