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SUSAN MCDONALD
NPI 1295289981
Specialist in Fort Worth, TX

Active since August 10, 2016
1400 8TH AVE, FORT WORTH, TX 76104(817) 269-1472(817) 531-2939 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan Mcdonald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MCDONALD (NPI 1295289981) is an individual specialist in Fort Worth, Texas, licensed in Texas (88493) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1295289981
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSUSAN MCDONALD
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing Address1169 N Burleson Blvd # 107-233Burleson, TX 76028-7011 · (817) 269-1472 · Fax (817) 531-2939
Phone(817) 269-1472
Fax(817) 531-2939
Sole ProprietorYes
Enumeration DateAugust 10, 2016
✔ NPI 1295289981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · 88493
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1400 8TH AVE, Fort Worth, TX 76104
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Other Names 1

Professional Name (2)Lee H Mota Cst/csfa

Other Identifiers 1

Other208094511TX · Federal Tax Id

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
MARY AGNES JOHNSON NP
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-7070
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ANNELISE KUTZLER
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Mcdonald's NPI number?

The NPI number for Susan Mcdonald is 1295289981. It was assigned to this individual provider in the NPPES registry on August 10, 2016. The provider is also known as Lee H Mota Cst/Csfa.

Where is Susan Mcdonald located?

Susan Mcdonald practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 269-1472.

What is Susan Mcdonald's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susan Mcdonald was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.