| Doctor Name: | SUSAN CALLAWAY |
| NPI Number: | 1083620363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | E6269 |
| Business Practice Address: | 3828 S 1st St Austin, TX - 787047048 |
| Business Phone Number: | 5124431311 |
| Business Fax Number: | 5124456457 |
| Mailing Address: | Po Box 26726, AUSTIN |
| State: | TX |
| Postal Code: | 787550726 |
| Phone Number: | 5124078686 |
| Fax Number: | 5124214489 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 12/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E6269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |