Provider Demographics
NPI:1073831640
Name:HAMBRIGHT, SUSANNAH MARY (MD)
Entity Type:Individual
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First Name:SUSANNAH
Middle Name:MARY
Last Name:HAMBRIGHT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:221 W. COLORADO BLVD.
Mailing Address - Street 2:PAVILION II SUITE 644
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-3470
Mailing Address - Country:US
Mailing Address - Phone:972-298-2138
Mailing Address - Fax:972-298-2148
Practice Address - Street 1:221 W. COLORADO BLVD.
Practice Address - Street 2:PAVILION II SUITE 644
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:972-298-2138
Practice Address - Fax:972-298-2148
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2023-04-12
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Provider Licenses
StateLicense IDTaxonomies
TXQ8450208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery