Individual
RUTH BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 HARBORSIDE DR 5TH FLOOR, GALVESTON, TX 77555-2348
(409) 772-6787
(713) 798-8367
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-2348
(409) 747-6240
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
L6810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148049301
—
TX
Enumeration date
10/17/2006
Last updated
09/19/2022
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