Individual
DR. MARIA RITA LEPE SUASTEGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4402
(214) 645-0595
(214) 648-4131
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 345-5634
(214) 648-4131
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
L9316
TX
207RI0008X
Hepatology Physician
Primary
L9316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166783401
—
TX
05
—
166783402
—
TX
01
—
8P0441
BCBS
TX
Enumeration date
05/20/2006
Last updated
05/01/2024
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