MEDICARE: ELIZABETH C SUEING PT, DPT

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
1	2251P0200X	Pediatric Physical Therapist	PT6980	MS

General Provider Information

NPI Number	:	1629680277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH C SUEING PT, DPT

Provider Business Mailing Address
First Line	:	4606 FM 1960 RD W STE 520
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4629
Country	:	US
Telephone Number	:	346-333-2794
Fax Number	:	662-349-8757

Provider Business Practice Location Address
First Line	:	4606 FM 1960 RD W STE 520
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4629
Country	:	US
Telephone Number	:	346-333-2794
Fax Number	:	662-349-8757

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	11/24/2023

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