Individual
SUSAN BABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 S MOPAC EXPRESSWAY, BUILDING II SUITE 130, AUSTIN, TX 78746-5776
(800) 897-9177
(800) 470-8713
Mailing address
3961 CREEKSIDE LN, CARROLLTON, TX 75010-6398
(972) 762-3033
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP128480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP128480
STATE LICENSE
TX
Enumeration date
12/01/2015
Last updated
12/01/2015
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