Individual
SUSAN CAROL GUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8440 WALNUT HILL LN, SUITE 600, DALLAS, TX 75231-3833
(214) 739-1706
(214) 368-0056
Mailing address
8440 WALNUT HILL LN, SUITE 600, DALLAS, TX 75231-3833
(214) 739-1706
(214) 368-0056
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L1056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043926701
—
TX
Enumeration date
10/14/2005
Last updated
12/11/2008
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