Healthcare Provider Details

I. General information

NPI: 1740634757
Provider Name (Legal Business Name): CARIN SUITT RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 W BRAKER LN
AUSTIN TX
78758-3801
US

IV. Provider business mailing address

25218 MELODY OAKS LN
KATY TX
77494-3002
US

V. Phone/Fax

Practice location:
  • Phone: 512-978-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number79468
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: