Organization Active NPI

Neurological Services of Texas, P.a.

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1285822775
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E1506 Issued in TX
Legal business name
NEUROLOGICAL SERVICES OF TEXAS, P.A.
Practice address
1001 Washington Ave
Fort Worth, TX 76104-3021
Phone
(817) 335-3510
Fax
(817) 870-2144
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Susan K. Blue, M.D.NPI 1578540431
Title
Owner/President
Phone
(817) 335-3510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E1506 TX Primary

Addresses

Primary practice location

1001 Washington Ave
Fort Worth, TX 76104-3021

Mailing address

1001 Washington Ave
Fort Worth, TX 76104-3021
Phone (817) 335-3510

Other names 1

  • Susan K. Blue, M.D. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1285822775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WASHINGTON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043021",
            "telephone_number": "817-335-3510",
            "fax_number": "817-870-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WASHINGTON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043021",
            "telephone_number": "817-335-3510",
            "fax_number": "817-870-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SERVICES OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-335-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E1506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan K. Blue, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.