Healthcare Provider Details

I. General information

NPI: 1881829737
Provider Name (Legal Business Name): CURTIS ANDERSON BUSH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 ALTAMESA BLVD STE 100
FORT WORTH TX
76132-5473
US

IV. Provider business mailing address

8210 WALNUT HILL LN STE 130
DALLAS TX
75231-4418
US

V. Phone/Fax

Practice location:
  • Phone: 817-854-9969
  • Fax: 817-854-9965
Mailing address:
  • Phone: 214-750-1207
  • Fax: 214-750-8504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberP4144
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberP4144
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: