Individual
MARTHA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 685-4619
Mailing address
P O BOX 960046, OKLAHOMA CITY, OK 73196-0001
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H3659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139528704
—
TX
01
—
85V299
BCBS
TX
01
—
930017437
RAILROAD MCARE
TX
Enumeration date
02/23/2006
Last updated
08/19/2010
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