45D0492837 CLIA NUMBER - FREDERICK RUSHFORD MD

Laboratory Demographics

CLIA Number: 45D0492837

Facility Name: FREDERICK RUSHFORD MD

Facility Address:
21212 NORTHWEST FREEWAY
CYPRESS, TX
ZIP 77429
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Facility Phone Number: 281 894-0177

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366440265

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	45D0492837
LAB Type	Physician Office
Facility Name	FREDERICK RUSHFORD MD
Street	21212 NORTHWEST FREEWAY
City	CYPRESS
State	TX
ZIP	77429
Phone	281 894-0177
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024