Jack M Su
MD | Pediatric Hematology-Oncology | Male
Jack M Su, MD is a Houston, Texas based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Jack M Su is
6701 Fannin St, Houston, Texas - 77030-2316. He can be contacted on phone at
832-822-4240 and fax number 832-825-4247.
Jack M Su is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack M Su is
1023198363 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 25 Mar, 2011.
Jack M Su license number is
L3150 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Texas.
Jack M Su is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Jack M Su basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Jack M Su |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jack M Su address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6701 Fannin St
Houston, TX, 77030-2316
United States |
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| Phone Number : | 832-822-4240 |
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| Fax Number : | 832-825-4247 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023198363 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 25 Mar, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack M Su are as mentioned. Primary taxonomy code for Jack M Su, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | L3150 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Jack M Su such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 147524601 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6701 Fannin St
Houston, TX, 77030-2316
United States |
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| Phone Number : | 832-822-4240 |
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| Fax Number : | 832-825-4247 |
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Business Location:
Patients can refer following map for directions to
Jack M Su practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.