1376867937 NPI number — SUSAN VAN DE WATER, MD, PA

Table of content: (NPI 1376867937)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376867937 NPI number — SUSAN VAN DE WATER, MD, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUSAN VAN DE WATER, MD, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1376867937
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 62227
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIDLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79711-2227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
432-570-0373
Provider Business Mailing Address Fax Number:
432-687-3143

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1030 N GRANDVIEW AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ODESSA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79761-3149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-570-0373
Provider Business Practice Location Address Fax Number:
432-687-3143
Provider Enumeration Date:
03/24/2010

Additional Information

Authorized Official

Authorized Official Last Name:
VAN DE WATER
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
DEAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
432-570-0373

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  H2869 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0895096-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 180317300 . This is a "DEPT OF LABOR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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