Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN KELLY BLUE, M.D.
Active Sole ProprietorSUSAN KELLY BLUE, M.D. is a Specialist healthcare provider located in FORT WORTH, Texas. NPI 1578540431 is currently active in the NPPES registry. Verify at CMS.
Specialist · FORT WORTH, TX
Registration Details
- NPI Number
- 1578540431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2005 (20.59059734697 yrs)
- Last Updated
- May 11, 2011
- License
-
E1506 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 WASHINGTON AVEFORT WORTH, TX, 761043049Browse TX providers · Browse ZIP 76104
- Phone
- 8173347922
- Fax
- 8178702144
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. KALMAN S NARAYAN | MD | 1487651691 |
| DR. RONALD L ANTINONE | M.D. | 1659371490 |
| DR. ADAM B. SMITH | D.O. | 1033109608 |
| LAURIE BOQUET DORY | M.D. | 1417930900 |
| DR. JONATHAN J CICHOCKI | M.D. | 1861476376 |
| MR. WALTER CLAY TOWNSLEY | ATC/L | 1114991981 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.