Individual
DR. HILARY SU-YIN SUZAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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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