Individual
DR. JOHN MICHAEL SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
(281) 341-5116
(281) 341-5126
Mailing address
6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
(281) 341-5116
(281) 341-5126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009882401
—
TX
Enumeration date
05/01/2008
Last updated
07/29/2013
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