Susan K Blue
Medical Specialty
Professional ID
- NPI: 1578540431
- PECOS ID: 8224941745
- Enrollment ID: I20050328000634
- Credential(MD, DO, DPM): MD
- Medical School: Bowman Gray School Of Medicine Of Wake Forest University
- Medical School Graduation Year: 1969
Hospital Service
- Hospital CCN1: 450203
- Business Name (LBN)1: Weatherford Regional Medical Center
- Hospital CCN2: 450596
- Business Name (LBN)2: Lake Granbury Medical Center
Medical Practices
- Organization Name: Neurological Services Of Texas Pa
- Group Practice ID assigned by PECOS: 3173564051
- Number of Group Practice member: 0
Location
- Address1: 1001 Washington Ave
- Address2:
- City: Fort Worth
- State: Texas
- Zip Code: 76104
- Phone Number: (817)335-7122
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):