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Individual

SUSAN L STORRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNM, MS

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-3838
(214) 645-3839
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-3838
(214) 645-3839

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
506630
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111966104
TX
01
420001835
RAILROAD MEDICARE
Enumeration date
07/13/2006
Last updated
05/05/2015
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