Provider Demographics
NPI:1740415801
Name:SUTER, BERNHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNHARD
Middle Name:
Last Name:SUTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAYLOR PLZ
Mailing Address - Street 2:PEDIATRIC NEUROLOGY DEPARTMENT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:832-822-1764
Mailing Address - Fax:832-825-1717
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:PEDIATRIC NEUROLOGY DEPARTMENT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-822-1764
Practice Address - Fax:832-825-1717
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9967208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics