Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 13758 | NV |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | N7457 | TX |
NPI | 1003051731 |
---|---|
Provider Name | Dr. Suzanne Marie Manzi |
First Address | Houston, TX 77057-4817 |
Second Address | Bellaire, TX 77401-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2008 |
Last Update Date | 03/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276616YQDV | (02) | TX |