1043446396 NPI number — MRS. MONICA THERESA SUTER IDMT

Table of content: MRS. MONICA THERESA SUTER IDMT (NPI 1043446396)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043446396 NPI number — MRS. MONICA THERESA SUTER IDMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SUTER
Provider First Name:
MONICA
Provider Middle Name:
THERESA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
IDMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043446396
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7710 VALLEY TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78250-3122
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-680-1624
Provider Business Mailing Address Fax Number:
210-671-0518

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1618 TRUEMPER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LACKLAND A F B
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78236-5511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-671-5304
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1710I1003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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