Provider Demographics
NPI:1669777850
Name:SULLER, MARIA RENELA GAMBITO (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA RENELA
Middle Name:GAMBITO
Last Name:SULLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2515 WEATHERBY DR
Mailing Address - Street 2:APT 189
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-2643
Mailing Address - Country:US
Mailing Address - Phone:214-596-8458
Mailing Address - Fax:
Practice Address - Street 1:4431 E HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-4109
Practice Address - Country:US
Practice Address - Phone:469-800-9860
Practice Address - Fax:469-800-9870
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ8651207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism