Individual
SUUR BILICILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(832) 325-7080
Mailing address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(713) 500-6786
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
N0650
TX
2084N0400X
Neurology Physician
N0650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198341301
—
TX
01
—
8AA309
BCBS
TX
Enumeration date
11/21/2008
Last updated
10/11/2018
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