Organization
FOREFRONT-RUSH MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA VITULLO (AUTHORIZED OFFICIAL)
(469) 895-9275
Entity
Organization
Contact information
Practice address
1216 TWIN LAKES DR, LITTLE ROCK, AR 72205-6769
(510) 201-0190
(888) 972-2903
Mailing address
1717 MAIN ST STE 5850, DALLAS, TX 75201-7317
(972) 449-0540
(972) 449-0542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M7583
MEDICAL LICENSE
TX
Enumeration date
04/24/2018
Last updated
02/04/2026
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