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Susan Mcdonald
Specialist in Fort Worth, Texas
NPI 1295289981

Susan Mcdonald is a Specialist based in Burleson, TX. Susan Mcdonald practices in Fort Worth, TX. The NPI Number for Susan Mcdonald is 1295289981 and holds a License No. 88493 (Texas).

The current practice location address for Susan Mcdonald is 1400 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-269-1472 and via fax at 817-531-2939.

Location: 1400 8Th Ave, Fort Worth, TX, 76028-7011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295289981
Provider Name
Susan Mcdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 8Th Ave, Fort Worth, TX, 76028-7011
Phone Number
817-269-1472
Fax Number
817-531-2939
Provider Enumeration Date
08/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208094511 01 TX FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
1400 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-4110
Phone Number
817-269-1472
Fax Number
817-531-2939
person
Provider Business Mailing Address Details
Address
1400 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-4110
Phone Number
817-269-1472
Fax Number
817-531-2939
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
88493 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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