Healthcare Provider Details

I. General information

NPI: 1023033883
Provider Name (Legal Business Name): SUSAN ELIZABETH DOZIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 N MO PAC EXPWY SUITE 355
AUSTIN TX
78759-8894
US

IV. Provider business mailing address

8240 N MO PAC EXPWY SUITE 355
AUSTIN TX
78759-8894
US

V. Phone/Fax

Practice location:
  • Phone: 512-527-9020
  • Fax: 512-527-9000
Mailing address:
  • Phone: 512-527-9020
  • Fax: 512-527-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberH8011
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: