| 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 |