Individual
KEN S SUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSC,HIS,OTO TECH
Contact information
Practice address
5250 HIGHWAY 78, STE 750-453, SACHSE, TX 75048-4252
(469) 879-8834
Mailing address
7226 HILLSHIRE LN, SACHSE, TX 75048-5646
(469) 361-1257
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80384
TX
Other
Enumeration date
03/10/2010
Last updated
11/01/2010
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