Individual provider · Type 1 NPI

Suzanne Self, PA-C

Medical Physician Assistant · Lubbock, TX

NPI number 1063489078 Active

Practice location

10507 Quaker Ave, Suite A
Lubbock, TX 79424-8442

Call (806) 701-5425 Map

Mailing address

4802 N Loop 289, Premiere Clinic
Lubbock, TX 79416-3025

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA02423 (TX)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1063489078

Suzanne Self, PA-C's National Provider Identifier is 1063489078, issued on Mar 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lubbock, TX. The record was last updated on Sep 17, 2016.