Healthcare Provider Details

I. General information

NPI: 1467367565
Provider Name (Legal Business Name): SHARON RUSHING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 WESTPARK WAY STE 109
EULESS TX
76040-3722
US

IV. Provider business mailing address

350 WESTPARK WAY STE 109
EULESS TX
76040-3722
US

V. Phone/Fax

Practice location:
  • Phone: 817-716-8342
  • Fax: 682-281-8805
Mailing address:
  • Phone: 817-716-8342
  • Fax: 682-281-8805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: