Provider Demographics
NPI:1457398026
Name:SMALLING, SUSAN B (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:B
Last Name:SMALLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:511 OAKWOOD BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4007
Mailing Address - Country:US
Mailing Address - Phone:512-388-7088
Mailing Address - Fax:512-388-0699
Practice Address - Street 1:511 OAKWOOD BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4007
Practice Address - Country:US
Practice Address - Phone:512-388-7088
Practice Address - Fax:512-388-0699
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF7177207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX896862OtherBCBS
TX896862OtherBCBS
TX896862Medicare ID - Type Unspecified