Organization
RUSH FAMILY HEALTH CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DAVID RUSH (CEO)
(903) 794-7874
Entity
Organization
Contact information
Practice address
5503 N STATELINE AVE, TEXARKANA, TX 75503-5303
(903) 794-7874
(903) 794-0740
Mailing address
5503 N STATELINE AVE, TEXARKANA, TX 75503-5303
(903) 794-7874
(903) 794-0740
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K8971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144733601
—
TX
05
—
145366002
—
AR
Enumeration date
02/20/2007
Last updated
04/25/2008
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