Susan Dawn Thivierge PA-C

NPI 1417167321 - Physician Assistant - 363A00000X

NPI Details
NPI 1417167321
Gender Female
Enumeration Date 05/23/2007
Last Updated 01/28/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
8701 NEW TRAILS DR
STE. 150
THE WOODLANDS TX, 77381-4253, US
Phone (281) 367-1015
Fax (281) 367-1966
Business Location
PO BOX 489
MT ENTERPRISE TX, 75681-0489, US
Phone (903) 822-3076
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 001984
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According to our database, Susan Dawn Thivierge PA-C NPI is 1417167321, taxonomy code is 363A00000X and license number is 001984, license state is located at Iowa. Susan Dawn Thivierge PA-C physically located at 8701 New Trails Dr, The Woodlands TX, 77381-4253. NPI Number Susan Dawn Thivierge PA-C has the Individual type.

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1417167321 NPI number is provided on an as is basis without warranty of any kind. 1417167321 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Dawn Thivierge PA-C are for informational purposes only.