Individual
MRS. SUSAN REESE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
816 NEWELL AVE, DALLAS, TX 75223-1162
(214) 831-0588
(214) 831-3130
Mailing address
816 NEWELL AVE, DALLAS, TX 75223-1162
(504) 782-9985
(214) 831-3130
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1099007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099007
TEXAS BOARD OF NURSING
TX
Enumeration date
11/15/2022
Last updated
06/24/2025
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