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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN WILLIG FAN, M.D.

Active Sole Proprietor

SUSAN WILLIG FAN, M.D. is a Body Imaging healthcare provider located in BAYTOWN, Texas. NPI 1124044995 is currently active in the NPPES registry. Verify at CMS.

Body Imaging · BAYTOWN, TX

Registration Details

NPI Number
1124044995
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2006 (20.090495157836 yrs)
Last Updated
Jan 5, 2011
License
H7012 (TX)
Sole Proprietor
Yes

Practice Information

Address
2800 GARTH RD
BAYTOWN, TX, 775213947
Browse TX providers · Browse ZIP 77521
Phone
2814273700
Primary Specialty
Body Imaging
2085B0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.