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General NPI Number Information
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NPI Number | 1467077966
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Entity Type | Organization
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Legal Business Name | HENRY Y. SU M.D., P.A.
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 1213 HERMANN DR STE 560
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City | HOUSTON
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State | TX
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Zip | 77004-7082
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Country | US
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Telephone | 832-816-1049
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 ARNOLD ST
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City | HOUSTON
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State | TX
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Zip | 77005-2035
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Country | US
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Telephone | 832-816-1049
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HENRY SU
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Credential |
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Telephone | 832-816-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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