Organization
RAJESH B VRUSHAB MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LEE REEVES (OFFICE MANAGER)
(817) 428-1865
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY, STE 424, BEDFORD, TX 76021-6605
(817) 545-1355
Mailing address
1615 PRECINCT LINE RD STE 103, HURST, TX 76054-3345
(817) 428-1865
(817) 281-3107
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M3106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308761101
—
TX
Enumeration date
02/16/2012
Last updated
03/11/2016
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