Dr. Susan Rudd Bailey
Allergist & Immunologist Allergist
4200 S Hulen St Ste 230
Fort Worth
, Texas 76109-4924
Dr. Susan Rudd Bailey
Allergist & Immunologist Allergist
4200 S Hulen St Ste 230
Fort Worth
, Texas 76109-4924
(817) 732-4660
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
Languages spoken
- English
Location
First Address
- Dr. Susan Rudd Bailey
- 4200 S Hulen St Ste 230
- Fort Worth, TX
- Zip : 76109-4924
- Fax : (817) 732-4660
- Phone : (817) 315-2550
Second Address
- Dr. Susan Rudd Bailey
- 4200 S Hulen St Ste 230
- Fort Worth, TX
- Zip : 76109-4924
- Fax : (817) 732-4660
- Phone : (817) 315-2550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | G0037 | TX |
| Y | 207KA0200X | Allergist | G0037 | TX |
National Provider Identifier
| NPI | 1396722583 |
|---|---|
| Provider Name | Dr. Susan Rudd Bailey |
| First Address | Fort Worth, TX 76109-4924 |
| Second Address | Fort Worth, TX 76109-4924 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2005 |
| Last Update Date | 23/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D87498 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.