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NPI 1912254830

NPI 1912254830 : HUA SU NP : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1912254830
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    Entity Type          |    Individual 
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    Provider Name        |    HUA SU NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/09/2012
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    Last Update Date     |    09/20/2024
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Provider Practice Location Address
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    Address Line         |    1635 NORTH LOOP W 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77008-1532
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    Country              |    US
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    Telephone            |    713-338-5616
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    Fax                  |    713-314-8280
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Provider Business Mailing Address
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    Address Line         |    6205 YORK BRIDGE CIR 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78749-2261
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    Country              |    US
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    Telephone            |    512-694-7857
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    Fax                  |    512-476-9892
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    767203
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    AP123411
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    License Number State |    TX
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