Provider Demographics
NPI:1275675548
Name:SUSAN SCHOLZ, FNP PC
Entity Type:Organization
Organization Name:SUSAN SCHOLZ, FNP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:903-784-8300
Mailing Address - Street 1:4125 ALPINE ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-6674
Mailing Address - Country:US
Mailing Address - Phone:903-784-8300
Mailing Address - Fax:903-785-7050
Practice Address - Street 1:2745 NE LOOP 286
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-3427
Practice Address - Country:US
Practice Address - Phone:903-784-8300
Practice Address - Fax:903-785-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX566966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNP0287Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
TXS82346Medicare UPIN