Individual
SUSAN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 269-1472
(817) 531-2939
Mailing address
1169 N BURLESON BLVD # 107-233, BURLESON, TX 76028-7011
(817) 269-1472
(817) 531-2939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
88493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208094511
FEDERAL TAX ID
TX
Enumeration date
08/10/2016
Last updated
08/10/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us