Individual
DR. GORDON A. BUSH
Active
Individual
DR. GORDON A. BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A071956
VALUE OPTIONS - MHC #
TX
Enumeration date
03/14/2007
Last updated
11/18/2025
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