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Individual
DR. DAVID ROY BUSH
Active
Individual
DR. DAVID ROY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4546
TX
363LF0000X
Family Nurse Practitioner
Primary
778319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095DQ
BCBS GROUP NUMBER
TX
01
—
88710X
BCBS PROVIDER NUMBER
TX
01
—
P00419356
RAILROAD MEDICARE
TX
Enumeration date
05/24/2006
Last updated
06/19/2012
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