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Contact Information

SUSSETTI M DE PENA MENDEZ, SA-C
945 ROAD 5706
CLEVELAND, TX77327
 Phone: 346-789-4364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for SUSSETTI M DE PENA MENDEZ · (Female)

NPI # 1164102869
Status Active
Credentials SA-C
Entity Individual
Enumeration date 07/19/2023
Last updated 07/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 23-425
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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