Individual
RACHEL DIANE LUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 8TH AVENUE SUITE 320, FORT WORTH, TX 76104-4139
(817) 924-2111
(817) 546-3980
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 546-3980
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M8145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204451301
—
TX
05
—
204451302
—
TX
Enumeration date
06/06/2007
Last updated
09/30/2011
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