Individual
SUSAN D JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
G8435
TX
2085R0202X
Diagnostic Radiology Physician
Primary
G8435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138212902
CSHCN
TX
01
—
138212914
CSHCN
TX
05
—
138212917
—
TX
05
—
138212918
—
TX
01
—
82445R
BCBS
TX
Enumeration date
06/14/2006
Last updated
02/22/2022
Update your record
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