Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 661019 | TX |
NPI | 1003085614 |
---|---|
Provider Name | Susan T Attel |
First Address | Rowlett, TX 75089-7919 |
Second Address | Rowlett, TX 75089-7919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2008 |
Last Update Date | 27/02/2008 |