# RAJESH B VRUSHAB MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871866111
- **Authorized official:** MRS. STACY LEE REEVES (OFFICE MANAGER)
- **Authorized official phone:** (817) 428-1865

## Contact information

- **Practice address:** 1305 AIRPORT FWY, STE 424, BEDFORD, TX 76021-6605
- **Practice address phone:** (817) 545-1355
- **Mailing address:** 1615 PRECINCT LINE RD STE 103, HURST, TX 76054-3345
- **Mailing address phone:** (817) 428-1865
- **Mailing address fax:** (817) 281-3107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | M3106 | TX | Yes |

## Other

- **Enumeration date:** 02/16/2012
- **Last updated:** 03/11/2016