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Individual

RUTH GOVIER BRUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H2102
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0426637-02
MEDICAID - STRG
TX
01
0426637-03
MEDICAID / CSHCN - STRG
TX
01
0426637-04
MEDICAID - STRIC
TX
01
337764YSHD
MEDICARE - STRIC
TX
01
337764YSHE
MEDICARE - STRG
TX
01
H2102
TEXAS MEDICAL LICENSE
TX
01
P01303763
RAILROAD MEDICARE
TX
01
P01303766
RAILROAD MEDICARE
TX
Enumeration date
05/05/2006
Last updated
03/24/2016
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