Provider Demographics
NPI:1427017821
Name:HARDWICK-SMITH, SUSAN (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:HARDWICK-SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BINZ ST STE 650
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6927
Mailing Address - Country:US
Mailing Address - Phone:713-497-5727
Mailing Address - Fax:713-791-1016
Practice Address - Street 1:1200 BINZ ST STE 650
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6927
Practice Address - Country:US
Practice Address - Phone:713-497-5727
Practice Address - Fax:713-791-1016
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2031207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153262401Medicaid
TX153262401Medicaid
TX00553GMedicare ID - Type Unspecified