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Individual

DONNA M MORO-SUTHERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2 GREENWAY PLZ, SUITE 300, HOUSTON, TX 77046-0297
(832) 828-3660
(832) 828-3660

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200100914
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
J9225
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1299N
BCBS
NC
05
891299N
NC
01
930114368
RAILROAD
NC
Enumeration date
04/04/2006
Last updated
04/25/2013
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