Individual
DR. STACE S RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
414 NAVARRO ST, SUITE 1616, SAN ANTONIO, TX 78205-2516
(210) 224-2655
(866) 644-0889
Mailing address
1139 E SONTERRA BLVD STE 205, SAN ANTONIO, TX 78258-4349
(210) 874-3359
(210) 874-3369
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L5890
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
L5890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175939102
—
TX
Enumeration date
02/27/2006
Last updated
01/04/2022
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