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NPI Code Detail

MEDICARE: SUSAN B STREUSAND M.D.

MEDICARE: SUSAN B STREUSAND M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianF4571TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
183P621OTHERTXBCBS

General Provider Information

NPI Number : 1467435958
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN B STREUSAND M.D.
Provider Business Mailing Address
First Line : 714 FM 1960 RD W
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3408
Country : US
Telephone Number : 281-880-6991
Fax Number : 281-880-6994
Provider Business Practice Location Address
First Line : 4000 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77504-1202
Country : US
Telephone Number : 713-359-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 01/23/2009

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Directions to “ SUSAN B STREUSAND M.D.” Practice Location

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