Individual
DR. SUSAN P NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
502 MADISON OAK DR, SUITE 440, SAN ANTONIO, TX 78258-4084
(210) 946-1300
(210) 402-1568
Mailing address
502 MADISON OAK DR, SUITE 440, SAN ANTONIO, TX 78258-4084
(210) 946-1300
(210) 402-1568
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N1803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207543401
—
TX
01
—
N1803
LICENSE
TX
Enumeration date
10/02/2005
Last updated
11/07/2023
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