Individual ProviderSusan H. SpaldingPediatricsAllopathic & Osteopathic PhysiciansPractice Address5000 Harry Hines Blvd, Homes, Dallas, TX 75235-7721(214) 590-0153PECOS EnrollmentBased on the most recent information from CMS, provider Susan H. Spalding does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:37 AM.Profile DetailsProvider ID1427059401Provider TypeIndividualFull NameSpalding, Susan H.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date8/2/2005Last Updated9/3/2009Contact InformationPractice LocationPractice Address5000 Harry Hines Blvd, Homes, Dallas, TX 75235-7721Phone(214) 590-0153Fax(214) 590-0172Mailing LocationMailing AddressPO Box 660599, Dallas, TX 75266-0599PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseJ3233TexasProvider IdentifiersIDDescriptionIssuerID139129412DescriptionMedicaidIssuerUnlistedTexasID139129401DescriptionMedicaidIssuerUnlistedTexasID139129403DescriptionMedicaidIssuerUnlistedTexasID139129406DescriptionMedicaidIssuerUnlistedTexasID139129410DescriptionMedicaidIssuerUnlistedTexasID89G956DescriptionOtherIssuerBLUE CROSS BLUE SHIELDTexasID139129402DescriptionMedicaidIssuerUnlistedTexasID139129404DescriptionMedicaidIssuerUnlistedTexasID139129414DescriptionMedicaidIssuerUnlistedTexasID139129405DescriptionMedicaidIssuerUnlistedTexasID139129407DescriptionMedicaidIssuerUnlistedTexasID139129408DescriptionMedicaidIssuerUnlistedTexasID139129413DescriptionMedicaidIssuerUnlistedTexasID139129416DescriptionMedicaidIssuerUnlistedTexas