Individual
DR. JOSEPH STEPHEN SUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2330 BUTLER ST, SUITE 115, DALLAS, TX 75235-7828
(214) 530-5200
(214) 530-5211
Mailing address
2110 RESEARCH ROW, STE 100, DALLAS, TX 75235-2520
(214) 530-5200
(214) 530-5211
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
M2136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176911901
—
TX
Enumeration date
03/16/2006
Last updated
03/16/2016
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