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Individual

DR. HILARY SU-YIN SUZAWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6701 FANNIN ST, SUITE 1410, HOUSTON, TX 77030-2608
(832) 822-4200
(832) 825-1503
Mailing address
6701 FANNIN ST, SUITE 1410, HOUSTON, TX 77030-2608
(832) 822-4200
(832) 825-1503

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M2138
TX
208000000X
Pediatrics Physician
Primary
M2138
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174749501
TX
01
174749502
CSHCN TPI
TX
05
174749503
TX
01
8R6158
BLUE CROSS/SHIELD PEDI
TX
01
8S0342
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
09/07/2006
Last updated
07/14/2011
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