Individual
PAUL A RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4488
(318) 798-4420
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4488
(318) 798-4420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12187R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696781
—
LA
Enumeration date
06/08/2005
Last updated
12/11/2020
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