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Individual

SUSAN T WINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1301 S COULTER ST, SUITE 106, AMARILLO, TX 79106-1763
(806) 350-7307
(806) 677-2024
Mailing address
1215 S COULTER ST STE 400, AMARILLO, TX 79106-1769
(806) 350-7307
(806) 677-2024

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L6722
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163988202
TX
Enumeration date
06/22/2006
Last updated
12/01/2023
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