Individual
MRS. SUSAN KEITH LINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 S HULEN ST, SUITE 203, FORT WORTH, TX 76109-1504
(817) 926-7671
(817) 926-7772
Mailing address
PO BOX 961013, FORT WORTH, TX 76161-0013
(817) 926-7671
(817) 926-7772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H8972
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
H8972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
00L11W
TX
Enumeration date
03/23/2006
Last updated
10/22/2009
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