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General NPI Number Information
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NPI Number | 1245760263
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Entity Type | Organization
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Legal Business Name | RUSH MEDICAL PLLC
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9910 HUEBNER RD STE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1342
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Country | US
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Telephone | 210-697-9700
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Fax | 210-697-9701
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Provider Business Mailing Address
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Address Line | 9910 HUEBNER RD STE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1342
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Country | US
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Telephone | 210-697-9700
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Fax | 210-697-9701
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM N RUSH
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Credential | MD
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Telephone | 210-697-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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