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NPI Code Detail

MEDICARE: SUSAN T ERIE M.D.

MEDICARE: SUSAN T ERIE M.D.
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 PhysicianJ1989TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18433K3OTHERTXMEDICARE ID #

General Provider Information

NPI Number : 1609871862
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN T ERIE M.D.
Provider Business Mailing Address
First Line : PO BOX 392929 STE 200
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-0001
Country : US
Telephone Number : 713-461-2915
Fax Number : 713-461-5307
Provider Business Practice Location Address
First Line : 9511 HUFFMEISTER RD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2865
Country : US
Telephone Number : 713-461-2915
Fax Number : 713-461-5307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 03/20/2023

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Directions to “ SUSAN T ERIE M.D.” Practice Location

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