Individual
JAMES AVERY RUSH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 MEDI PARK DR STE 2058, AMARILLO, TX 79106-2109
(806) 354-9540
(806) 354-9588
Mailing address
1901 MEDI PARK DR STE 2058, AMARILLO, TX 79106-2109
(806) 354-9540
(806) 354-9588
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M7583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200332520 A
—
OK
05
—
206280404
—
TX
05
—
229922001
—
AR
05
—
67321232
—
NM
Enumeration date
03/06/2008
Last updated
11/02/2022
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