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Susan Kelly Blue, MD
Specialist in Fort Worth, Texas
NPI 1578540431

Susan Kelly Blue is a Specialist based in Fort Worth, TX. Susan Kelly Blue practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Susan Kelly Blue is 1578540431 and holds a License No. E1506 (Texas).

The current practice location address for Susan Kelly Blue is 1001 Washington Ave, Fort Worth, TX and can be reached out via phone at 817-334-7922 and via fax at 817-870-2144.

Location: 1001 Washington Ave, Fort Worth, TX, 76104-3049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578540431
Provider Name
Susan Kelly Blue
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1001 Washington Ave, Fort Worth, TX, 76104-3049
Phone Number
817-334-7922
Fax Number
817-870-2144
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1001 Washington Ave
City
Fort Worth
State
Texas
Zip
76104-3049
Phone Number
817-334-7922
Fax Number
817-870-2144
person
Provider Business Mailing Address Details
Address
1001 Washington Ave
City
Fort Worth
State
Texas
Zip
76104-3049
Phone Number
817-334-7922
Fax Number
817-870-2144
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E1506 (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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