Individual
DR. RICHARD A. SUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-4333
(214) 645-0355
Mailing address
5938 DESCO DR, DALLAS, TX 75225-1603
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G4725
TX
2085R0202X
Diagnostic Radiology Physician
Primary
G4725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385544-11
—
TX
Enumeration date
06/17/2005
Last updated
01/31/2022
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