Organization
DONALD P FRUSHER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PATRICK FRUSHER D.O. (PHYSICIAN)
(817) 504-4824
Entity
Organization
Contact information
Practice address
88 VILLAGE LN, COLLEYVILLE, TX 76034-2972
(817) 267-0550
(817) 545-2368
Mailing address
88 VILLAGE LN, COLLEYVILLE, TX 76034-2972
(817) 267-0550
(817) 545-2368
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K5531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124087044
NPI INDIVIDUAL
—
Enumeration date
09/21/2010
Last updated
09/21/2010
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