Provider Demographics
NPI:1003983222
Name:SUAREZ, PATRICIA A (DDS, MS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:2434 CEDAR DR
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-0037
Mailing Address - Country:US
Mailing Address - Phone:409-938-8018
Mailing Address - Fax:
Practice Address - Street 1:2434 CEDAR DR
Practice Address - Street 2:
Practice Address - City:LA MARQUE
Practice Address - State:TX
Practice Address - Zip Code:77568-3916
Practice Address - Country:US
Practice Address - Phone:409-938-8018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19878T1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice