Doctor Name: | DR. SUSAN COMER |
NPI Number: | 1306201207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | F1468 |
Business Practice Address: | 15394 Caravel Dr Corpus Christi, TX - 784186310 |
Business Phone Number: | 3619497468 |
Business Fax Number: | 3619497468 |
Mailing Address: | 15394 Caravel Dr, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784186310 |
Phone Number: | 3619497468 |
Fax Number: | 3619497468 |
NPI Enumeration Date: | 12/18/2015 |
NPI Last Update Date: | 12/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | F1468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |