Provider Demographics
NPI:1518213156
Name:CHIUSANO, SUSAN (DC, NP)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:CHIUSANO
Suffix:
Gender:F
Credentials:DC, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 BROWN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1421
Mailing Address - Country:US
Mailing Address - Phone:972-937-8900
Mailing Address - Fax:972-937-7936
Practice Address - Street 1:1324 BROWN ST
Practice Address - Street 2:STE 100
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1421
Practice Address - Country:US
Practice Address - Phone:972-937-8900
Practice Address - Fax:972-937-7936
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6975111N00000X
TX789527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor