Individual
SUZANNE YURI WADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3409 WORTH ST STE 710, DALLAS, TX 75246-2060
(214) 823-2533
Mailing address
3409 WORTH ST STE 710, DALLAS, TX 75246-2060
(214) 823-2533
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
K2621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046975101
—
TX
Enumeration date
04/12/2006
Last updated
03/08/2018
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