Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | H8011 | TX |
NPI | 1023033883 |
---|---|
Provider Name | Dr. Susan Elizabeth Dozier |
First Address | Austin, TX 78759-8894 |
Second Address | Austin, TX 78759-8894 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F56276 | (02) | TX |