Suzanne Self is a Medical in Lubbock, Texas. Suzanne Self practices all healthcare services and medical treatments related to Medical. The NPI Number for Suzanne Self is 1063489078. The last update date is 2016-09-17.
Suzanne Self's current location address is 4802 N Loop 289, Lubbock, Texas. You can contact this provider via phone number 8067880040 and fax number 8067880015. The mailing address for Suzanne Self is 4802 N Loop 289, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Self |
|---|---|
| Address | 4802 N Loop 289, Lubbock, Texas |
| Phone Number | 8067880040 |
| Fax Number | 8067880015 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063489078 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2016-09-17 |
Provider Mailing Address Detail
| Address | 4802 N Loop 289 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794163025 |
| Phone Number | 8067880040 |
| Fax Number | 8067880015 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA02423 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Suzanne Self's 1063489078?
The Suzanne Self's NPI (National Provider Identifier) Number is 1063489078. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Suzanne Self's facilities are geographically located?
The facilities of Suzanne Self are physically situated at the following location: 4802 N Loop 289, Lubbock, TX, 794163025.
What is Suzanne Self's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Suzanne Self is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063489078 to Suzanne Self?
The Centers for Medicare & Medicaid Services originally issued the 1063489078 to Suzanne Self on 2006-03-08.
As of what date was the information pertaining to Suzanne Self, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Suzanne Self, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-09-17.