Individual
DR. SUSANNA SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7706
(713) 500-7710
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7706
(713) 500-7710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M9023
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214171504
—
TX
01
—
214171507
CSHCN
—
01
—
8CH707
BCBS
—
01
—
P00973745
RAILROAD MEDICARE
—
Enumeration date
05/07/2008
Last updated
08/17/2023
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