Individual
DR. JEREMY KEITH RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4499 MEDICAL DR STE 235, SAN ANTONIO, TX 78229-3712
(210) 692-1613
(210) 692-7557
Mailing address
4499 MEDICAL DR STE 235, SAN ANTONIO, TX 78229-3712
(210) 692-1613
(210) 692-7557
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
P4376
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
P4376
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
P4376
TX
Other
Enumeration date
06/06/2007
Last updated
11/11/2025
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