Provider Demographics
NPI:1073501375
Name:BARROWS, SUSAN A (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:BARROWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4000 S LOOP 256
Mailing Address - Street 2:SLEEP DISORDERS CENTER, PRRH
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-8467
Mailing Address - Country:US
Mailing Address - Phone:903-731-5264
Mailing Address - Fax:903-731-5202
Practice Address - Street 1:4000 S LOOP 256
Practice Address - Street 2:SLEEP DISORDERS CENTER, PRRH
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-8467
Practice Address - Country:US
Practice Address - Phone:903-731-5264
Practice Address - Fax:903-731-5202
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK65332080S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100394901Medicaid
TXTXB155157Medicare PIN