MEDICARE: SUZANNE E PAGE 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
1	208100000X	Physical Medicine & Rehabilitation Physician	H8304	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851403893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE E PAGE MD

Provider Business Mailing Address
First Line	:	2900 WESLAYAN
Second Line	:	STE. 620
City	:	HOUSTON
State	:	TX
Zip	:	77027-5150
Country	:	US
Telephone Number	:	713-349-9901
Fax Number	:	713-349-9905

Provider Business Practice Location Address
First Line	:	2900 WESLAYAN
Second Line	:	STE. 620
City	:	HOUSTON
State	:	TX
Zip	:	77027-5150
Country	:	US
Telephone Number	:	713-349-9901
Fax Number	:	713-349-9905

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/29/2008

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Directions to “ SUZANNE E PAGE MD” Practice Location

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