Provider Demographics
NPI:1023033883
Name:DOZIER, SUSAN ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:DOZIER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8240 N MO PAC EXPWY
Mailing Address - Street 2:SUITE 355
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8894
Mailing Address - Country:US
Mailing Address - Phone:512-527-9020
Mailing Address - Fax:512-527-9000
Practice Address - Street 1:8240 N MO PAC EXPWY
Practice Address - Street 2:SUITE 355
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8894
Practice Address - Country:US
Practice Address - Phone:512-527-9020
Practice Address - Fax:512-527-9000
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH8011207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00433TMedicare ID - Type Unspecified
TXF56276Medicare UPIN