Individual
PATRICK D SUTPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8995
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
P7040
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
P7040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243510
—
MA
Enumeration date
06/15/2007
Last updated
10/11/2016
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