Susan N Hyde, ATP
Durable Medical Equipment & Medical Supplies, Customized Equipment in Dallas, TX. Individual provider (NPI-1).
NPI number1982140760
StatusActive
Last updated in NPPESJan 17, 2017
Details
- NPI
- 1982140760
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan N Hyde
- Credential
- ATP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2017
- Last updated
- Jan 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | ATP87869 | TX | Yes |
Other names
- Susan N Mahoney (Former Name)
Practice location
1555 Elm St Apt 3108Dallas, TX 75201-3525
Phone 972-921-3045 · Fax 817-590-8277
Mailing address
1555 Elm St Apt 3108Dallas, TX 75201-3525
Phone 972-921-3045 · Fax 817-590-8277
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