Organization
DR.SUTTER & DR.PHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THELMA WONG SUTTER MD. (DR.SUTTER MD.)
(806) 725-4212
Entity
Organization
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-4212
Mailing address
PO BOX 6610, LUBBOCK, TX 79493-6610
(806) 796-0507
(806) 799-6908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F-3529
TX
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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