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Individual
DR. FREDERICK E RUSHFORD
Active
Individual
DR. FREDERICK E RUSHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G1528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00GF88
PTAN
TX
05
—
033581201
—
TX
01
—
080010027
MEDICARE RR
TX
01
—
45D0492837
CLIA #
TX
Enumeration date
07/13/2005
Last updated
05/31/2024
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