Individual
JAMES FERGUSON TUSTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415
(806) 775-8400
(806) 775-8412
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D9308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136993610
—
TX
05
—
Y7171
—
NM
Enumeration date
05/19/2006
Last updated
05/19/2008
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