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NEUROLOGICAL SERVICES OF TEXAS P.A. NPI 1285822775


NPI Information

NPI: 1285822775
Provider Name: NEUROLOGICAL SERVICES OF TEXAS, P.A.

Other Name: SUSAN K. BLUE, M.D.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1001 WASHINGTON AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 335-3510
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NEUROLOGICAL SERVICES OF TEXAS, P.A. is a specialist in Fort Worth, TX. The provider is 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. NEUROLOGICAL SERVICES OF TEXAS, P.A. NPI is 1285822775. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Susan K. Blue, M.d..

The provider's business location address is:

1001 WASHINGTON AVE
FORT WORTH, TX
ZIP 76104-021
Phone: (817) 335-3510
Fax: (817) 870-2144

The provider's authorized official is Susan K. Blue .
The authorized official title is Owner/president and has the following contact phone number (817) 335-3510.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistE1506TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D47944MEDICARE UPIN
200338KMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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