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NPI Code Detail

MEDICARE: SUZANNE E MONDAY MD

MEDICARE:   SUZANNE E MONDAY  MD
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
1207Q00000XFamily Medicine PhysicianK9358TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18EY894OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3TXB111773OTHERTXPTAN

General Provider Information

NPI Number : 1003818337
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE E MONDAY MD
Provider Business Mailing Address
First Line : PO BOX 8128
Second Line :
City : GREENVILLE
State : TX
Zip : 75404-8128
Country : US
Telephone Number : 903-454-8111
Fax Number : 903-454-1680
Provider Business Practice Location Address
First Line : 4101 WESLEY ST
Second Line : SUITE C
City : GREENVILLE
State : TX
Zip : 75401-5635
Country : US
Telephone Number : 903-461-1874
Fax Number : 903-454-1680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 08/03/2016

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Directions to “ SUZANNE E MONDAY MD” Practice Location

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