Individual
SU MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNOR, RNFA
Contact information
Practice address
9301 N CENTRAL EXPY, DALLAS, TX 75231-0806
(214) 265-2810
Mailing address
402 TURNER RD, GRAPEVINE, TX 76051-3352
(432) 296-9793
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
736809
TX
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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