Jingdong Su

NPI 1669607479 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1669607479
Gender Male
Enumeration Date 05/22/2009
Last Updated 05/24/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
1001 12TH AVE
STE. 200
FT WORTH TX, 76104-3926, US
Phone (817) 850-2000
Fax (817) 850-2015
Business Location
PO BOX 911230
DALLAS TX, 75391-1230, US
Phone (972) 997-8000
Fax (806) 351-3787
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jingdong Su NPI is 1669607479, taxonomy code is 390200000X Jingdong Su physically located at 1001 12th Ave, Ft Worth TX, 76104-3926. NPI Number Jingdong Su has the Individual type.

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1669607479 NPI number is provided on an as is basis without warranty of any kind. 1669607479 is maintained by the National Plan & Provider Enumeration System. The contents of Jingdong Su are for informational purposes only.