Provider Demographics
NPI:1356785497
Name:TOOMBS, SUZETTE MEILYN (MD)
Entity type:Individual
Prefix:
First Name:SUZETTE
Middle Name:MEILYN
Last Name:TOOMBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 N DUNCAN ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1638
Mailing Address - Country:US
Mailing Address - Phone:832-326-1433
Mailing Address - Fax:
Practice Address - Street 1:1907 GREENWICH TERRACE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3823
Practice Address - Country:US
Practice Address - Phone:832-326-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ99162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry