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Suzzane Blake, MD
NPI 1689698946 · on the registry since 2006
Practice
- Address
- 4188 Nw Loop
Carthage, TX 75633 - Phone
- (903) 315-4160
- Fax
- (903) 690-0801
- Organisation at this address
- Panola Dental, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas