Provider Demographics
NPI:1467556803
Name:SUZAWA, HILARY SU-YIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:SU-YIN
Last Name:SUZAWA
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 1:6701 FANNIN ST
Mailing Address - Street 2:SUITE 1410
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2608
Mailing Address - Country:US
Mailing Address - Phone:832-822-4200
Mailing Address - Fax:832-825-1503
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:SUITE 1410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-822-4200
Practice Address - Fax:832-825-1503
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2138207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174749502OtherCSHCN TPI
TX8R6158OtherBLUE CROSS/SHIELD PEDI
TX8S0342OtherBLUE CROSS/BLUE SHIELD
TX174749501Medicaid
TX174749503Medicaid
TXTXB117047Medicare PIN
TXI36069Medicare UPIN
TX8G5461Medicare PIN
TX8D8779Medicare PIN
TX8S0342OtherBLUE CROSS/BLUE SHIELD