SUSAN KELLY BLUE

FORT WORTH, TX
NPI1578540431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: TX  E1506)
Enumeration Date2005-12-30
Last Update Date2011-05-11
Business Address
-- SUSAN KELLY BLUE M.D.
1001 WASHINGTON AVE
FORT WORTH, TX 76104-3049
Phone number: 817-334-7922
Mailing Address
-- SUSAN KELLY BLUE M.D.
1001 WASHINGTON AVE
FORT WORTH, TX 76104-3049
Phone number: 817-334-7922
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