Individual
MISS ELLEN ELIZABETH SUGAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 E 29TH ST, SUITE 235, BRYAN, TX 77802-2531
(979) 774-4008
(979) 731-8914
Mailing address
2700 E 29TH ST, SUITE 235, BRYAN, TX 77802-2531
(979) 774-4008
(979) 731-8914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
12/07/2007
Last updated
10/21/2010
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