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Alisara Suptuesat, MD
Diagnostic Radiology Physician in Houston, Texas
NPI 1205922978

Alisara Suptuesat is a Diagnostic Radiology Physician based in Houston, TX and is specialized in Diagnostic Radiology. Alisara Suptuesat practices in Houston, TX and has the professional credentials of MD. The NPI Number for Alisara Suptuesat is 1205922978 and holds a License No. FTL 41869 (Texas).

The current practice location address for Alisara Suptuesat is 6411 Fannin, Houston, TX and can be reached out via phone at 713-704-4000.

Location: 6411 Fannin, Houston, TX, 77216-1088
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Provider Profile Details
NPI Number
1205922978
Provider Name
Alisara Suptuesat
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6411 Fannin, Houston, TX, 77216-1088
Phone Number
713-704-4000
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187729202 01 TX CSHCN
8W2045 01 TX BCBS
187729201 05 TX
institution
Provider Business Practice Location Address Details
Address
6411 Fannin
City
State
Zip
77030
Phone Number
713-704-4000
Fax Number
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Provider Business Mailing Address Details
Address
6411 Fannin
City
State
Zip
77030
Phone Number
713-704-4000
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
FTL 41869 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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