Provider Demographics
NPI:1356648596
Name:CAHILL, SUSANNAH SCHWARTZ (PA-C)
Entity Type:Individual
Prefix:
First Name:SUSANNAH
Middle Name:SCHWARTZ
Last Name:CAHILL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E BRIAR HOLLOW LN
Mailing Address - Street 2:APARTMENT 252
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-2943
Mailing Address - Country:US
Mailing Address - Phone:409-350-9176
Mailing Address - Fax:
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:SUITE M196
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:214-860-6036
Practice Address - Fax:972-704-2871
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
TXPA07157363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX281843702Medicaid
TX281843703Medicaid
TX281843701Medicaid
TX281843701Medicaid
TXTXB126255Medicare PIN
TXTXB126256Medicare PIN
TX281843702Medicaid