person
Susan Braddock
Clinic/Center in Fort Worth, Texas
NPI 1528635141

Susan Braddock is a Clinic/Center based in Fort Worth, TX. Susan Braddock practices in Fort Worth, TX. The NPI Number for Susan Braddock is 1528635141 and holds a License No. (Texas).

The current practice location address for Susan Braddock is 2009 Tremont Ave, Fort Worth, TX and can be reached out via phone at 817-395-6284 and via fax at 817-423-7734.

Location: 2009 Tremont Ave, Fort Worth, TX, 76107-3959
person
Provider Profile Details
NPI Number
1528635141
Provider Name
Susan Braddock
Credential
Provider Entity Type
Individual
Gender
Female
Address
2009 Tremont Ave, Fort Worth, TX, 76107-3959
Phone Number
817-395-6284
Fax Number
817-423-7734
Provider Enumeration Date
06/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2009 Tremont Ave
City
State
Zip
76107-3959
Phone Number
817-395-6284
Fax Number
817-423-7734
person
Provider Business Mailing Address Details
Address
2009 Tremont Ave
City
State
Zip
76107-3959
Phone Number
817-395-6284
Fax Number
817-423-7734
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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