Individual
SUSAN M. O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 THE CITY DRIVE SOUTH, BLDG. 23, RM. 403, ORANGE, CA 92868
(714) 456-8000
(714) 456-3810
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
H3130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100519101
—
TX
01
—
110059114
RR MEDICARE
TX
01
—
800947
BCBS
TX
Enumeration date
09/14/2006
Last updated
06/06/2019
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