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Organization

NEUROLOGICAL SERVICES OF TEXAS, P.A.

Active
Other names
Susan K. Blue, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN K. BLUE M.D. (OWNER/PRESIDENT)
(817) 335-3510
Entity
Organization

Contact information

Practice address
1001 WASHINGTON AVE, FORT WORTH, TX 76104-3021
(817) 335-3510
(817) 870-2144
Mailing address
1001 WASHINGTON AVE, FORT WORTH, TX 76104-3021
(817) 335-3510
(817) 870-2144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E1506
TX

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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