Individual provider · Type 1 NPI
Susan Braddock
Clinic/Center · Fort Worth, TX
NPI number
1528635141
Active
Practice location
2009 Tremont Ave
Fort Worth, TX 76107-3959
Fax (817) 423-7734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in Fort Worth
About NPI 1528635141
Susan Braddock's National Provider Identifier is 1528635141, issued on Jun 10, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 10, 2021.