Organization · Type 2 NPI

Susan R. Bailey, M.d.p.a.

Medical Specialty Clinic/Center · Fort Worth, TX

NPI number 1184886640 Active

Practice location

5929 Lovell Ave
Fort Worth, TX 76107-5029

Fax (817) 732-4660

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XG0037 (TX)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

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About NPI 1184886640

Susan R. Bailey, M.d.p.a.'s National Provider Identifier is 1184886640, issued on Jun 26, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 31, 2008.