Look up the most recent NPI and PECOS records

Sue Doty

Family Medicine

Allopathic & Osteopathic Physicians

200 N Comal, San Antonio, TX 78207-3505

(210) 335-6260 (210) 358-9500

PECOS Enrollment

Based on the most recent information from CMS, provider Sue Doty does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1386751378
Provider Type
Individual
Full Name
Doty, Sue
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/24/2006
Last Updated
1/28/2021

Contact Information

Practice Location

200 N Comal, San Antonio, TX 78207-3505

(210) 335-6260

(210) 358-9183

Mailing Location

PO Box 734812, Dallas, TX 75373-4812

(210) 358-9500

(210) 358-9183

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License H0306 Texas
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License H0306 Texas

Provider Identifiers

ID	Description	Issuer
ID 129058704	Description Other	Issuer CSN Texas
ID 129058706	Description Medicaid	Issuer Unlisted Texas
ID 826203	Description Other	Issuer BCBS Texas

Sue Doty

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Morgan, Ruth

Coston, Matthew Jason

Nguyen, Tran

Borrero, Norma

Mayberry, James Rudy

Alfaro-Finkenstadt, Katia Rosario

Omole, Oluwatosin

Cepeda, Cristina

Palacios, Miguel Alejandro

Norris, Simone L