Individual
DR. MAXWELL SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 E KOLSTAD ST, PALESTINE, TX 75801-2352
(903) 723-3250
(903) 723-5550
Mailing address
501 E KOLSTAD ST, PALESTINE, TX 75801-2352
(903) 723-3250
(903) 723-5550
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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