Individual
DR. SUSAN RUDD BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
(817) 732-4660
Mailing address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
(817) 732-4660
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
G0037
TX
207KA0200X
Allergy Physician
Primary
G0037
TX
Other
Enumeration date
12/28/2005
Last updated
09/23/2021
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