Dr.Sutter & Dr.Phan

Primary specialty

SpecialistTaxonomy code 174400000X

License

F-3529 Issued in TX

Legal business name

DR.SUTTER & DR.PHAN

Practice address

3615 19TH St
Lubbock, TX 79410-1203

Phone

(806) 725-4212

NPI assigned

Oct 4, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thelma Wong Sutter, MD.

Title

Dr.Sutter MD.

Phone

(806) 725-4212

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447247507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6610",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794936610",
            "telephone_number": "806-796-0507",
            "fax_number": "806-799-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101203",
            "telephone_number": "806-725-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SUTTER & DR.PHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "WONG",
        "authorized_official_title_or_position": "DR.SUTTER MD.",
        "authorized_official_telephone_number": "806-725-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F-3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Terrisa Drake OD PA (Premier Eyecare)
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• Dr. Robert L. Ordonez M.D. P.a.
• Ashley Brooke Drabick, OTR/L
• Linda Dragga, SLP
• Sara E Dragosz, ATC
• Stanley Paul Drake, RPH
• Laura Anne Draper, O.D.

• Specialist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.