Individual
SUSAN E. PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, #500, HOUSTON, TX 77030-3000
(832) 325-7111
(713) 704-1953
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
K3373
TX
2080P0214X
Pediatric Pulmonology Physician
K3373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126603306
—
TX
01
—
126603307
CSHCN
TX
01
—
8AL071
BCBS
TX
Enumeration date
08/10/2007
Last updated
05/12/2009
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