Individual
GRACE JAMILLIA RUSHWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 ALTAMESA BLVD STE 100, FORT WORTH, TX 76132-5475
(817) 854-9969
(803) 604-0854
Mailing address
4700 SETON CENTER PKWY STE 115, AUSTIN, TX 78759-5753
(817) 854-9969
(803) 604-0854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA20247
TX
363A00000X
Physician Assistant
Primary
—
TX
363AS0400X
Surgical Physician Assistant
Primary
PA20247
TX
Other
Enumeration date
02/12/2026
Last updated
04/06/2026
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