Individual
DR. BENNIE DARRYL RUSH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-1183
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q5085
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2013
Last updated
11/20/2015
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