Individual
SUSAN L. CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(972) 632-7488
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
722865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198323101
—
TX
01
—
8Y2142
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/29/2006
Last updated
07/07/2016
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