Individual
SUSAN D JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7626
(713) 500-7639
Mailing address
6431 FANNIN ST # 2.130, HOUSTON, TX 77030-1501
(713) 500-7626
(713) 500-7639
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
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