Provider Demographics
NPI:1851403893
Name:PAGE, SUZANNE E (MD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:E
Last Name:PAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 WESLAYAN
Mailing Address - Street 2:STE. 620
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5150
Mailing Address - Country:US
Mailing Address - Phone:713-349-9901
Mailing Address - Fax:713-349-9905
Practice Address - Street 1:2900 WESLAYAN
Practice Address - Street 2:STE. 620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5150
Practice Address - Country:US
Practice Address - Phone:713-349-9901
Practice Address - Fax:713-349-9905
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH8304208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136277304Medicaid
TX136277304Medicaid
F62179Medicare UPIN