Susan Mcdonald

NPI #1295289981 in Fort Worth, Texas

Provider Information

NPI Number: 1295289981
Entity Type: Individual
Name: Susan Mcdonald
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 1400 8TH AVE
City: Fort Worth
State: Texas
ZIP Code: 76104-4110
Phone: (817) 269-1472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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