NPI | 1285822775 |
---|---|
Other Name | SUSAN K. BLUE, M.D. |
Entity Type | Organization |
Authorized Contact | SUSAN K. BLUE Owner/President 817-335-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX E1506) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2007-10-09 |