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Susan R. Bailey, M.d.p.a.
Medical Specialty Clinic/Center in Fort Worth, Texas
NPI 1184886640

Susan R. Bailey, M.d.p.a. is a Medical Specialty Clinic/Center based in Fort Worth, TX and is specialized in Medical Specialty. Susan R. Bailey, M.d.p.a. practices in Fort Worth, TX. The NPI Number for Susan R. Bailey, M.d.p.a. is 1184886640 and holds a License No. G0037 (Texas).

The current practice location address for Susan R. Bailey, M.d.p.a. is 5929 Lovell Ave, Fort Worth, TX and can be reached out via phone at 817-315-2550 and via fax at 817-732-4660.

Location: 5929 Lovell Ave, Fort Worth, TX, 76107-5029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184886640
Provider Name
Susan R. Bailey, M.d.p.a.
Credential
Provider Entity Type
Organization
Address
5929 Lovell Ave, Fort Worth, TX, 76107-5029
Phone Number
817-315-2550
Fax Number
817-732-4660
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
032156401 05 TX
institution
Provider Business Practice Location Address Details
Address
5929 Lovell Ave
City
Fort Worth
State
Texas
Zip
76107-5029
Phone Number
817-315-2550
Fax Number
817-732-4660
person
Provider Business Mailing Address Details
Address
5929 Lovell Ave
City
Fort Worth
State
Texas
Zip
76107-5029
Phone Number
817-315-2550
Fax Number
817-732-4660
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G0037 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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