Individual
DR. RYAN BRADFORD RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7411 WALLACE BLVD, AMARILLO, TX 79106-1835
(806) 351-1870
Mailing address
PO BOX 50720, AMARILLO, TX 79159-0720
(806) 467-0459
(806) 355-1284
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD200353
LA
207W00000X
Ophthalmology Physician
ME 101350
FL
207W00000X
Ophthalmology Physician
Primary
N2271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282302301
—
TX
Enumeration date
11/27/2007
Last updated
08/06/2013
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