Individual
SUSAN PERSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 W SOUTH ST, HENRIETTA, TX 76365-3346
(940) 538-5621
(940) 235-1215
Mailing address
310 W SOUTH ST, HENRIETTA, TX 76365-3346
(940) 538-5621
(940) 235-1215
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP133499
TX
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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