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Individual

MS. MINNIE A RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8434
Mailing address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8434

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AP120269
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
748646
TX

Other

Enumeration date
05/13/2011
Last updated
11/07/2022
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