Individual
MRS. SUSAN SWEE GAIK LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
800 5TH AVE, SUITE 410, FORT WORTH, TX 76104-7305
(817) 332-6092
(817) 332-6015
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-6015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
438402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159875701
—
TX
01
—
P00027581
RAILROAD MEDICARE
—
Enumeration date
11/18/2005
Last updated
02/18/2010
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