Individual
DR. MAXWELL SU
Active
Individual
DR. MAXWELL SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
BP20068130
TX
207W00000X
Ophthalmology Physician
Primary
T4277
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437545301
—
TX
Enumeration date
03/21/2018
Last updated
02/20/2024
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