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Individual

SUSAN ELIZABETH ZANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
100 PASCAL LN, AUSTIN, TX 78746-2506
(512) 328-0990
Mailing address
100 PASCAL LN, AUSTIN, TX 78746-2506

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
DR.0068882
CO
208D00000X
General Practice Physician
Primary
J6421
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL0008441
CO

Other

Enumeration date
07/23/2012
Last updated
11/05/2022
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