Individual
MS. SUSAN N HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATP
Contact information
Practice address
1555 ELM ST APT 3108, DALLAS, TX 75201-3525
(972) 921-3045
(817) 590-8277
Mailing address
1555 ELM ST APT 3108, DALLAS, TX 75201-3525
(972) 921-3045
(817) 590-8277
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
ATP87869
TX
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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