Susan R. Bailey, M.D.P.A.

LBN: Susan R. Bailey, M.D.P.A.
Susan R. Bailey, M.D.P.A. is an health care organization with primary practice located at 5929 Lovell Ave , Fort Worth TX 76107-5029. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Susan R. Bailey, M.D.P.A. can be contacted via phone (817) 315-2550, or through Rogers, Ellen via phone (817) 315-2550.

Contact Information

Primary practice address
5929 Lovell Ave Fort Worth TX 76107-5029
Phone: (817) 315-2550
Fax: (817) 732-4660
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Ellen
Phone: (817) 315-2550

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X G0037 Texas

Profile Details

NPI number 1184886640
LBN Legal business name Susan R. Bailey, M.D.P.A.
DBA Doing business as
Authorized official Rogers, Ellen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Dec 31st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184886640 NPPES
Texas MEDICAID 032156401

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