RONALD DAVID RUSH MD NPI 1184802381

NPI Information

  • NPI: 1184802381
  • Provider Name: RONALD DAVID RUSH, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 5503 N STATELINE AVE
    TEXARKANA, TX
    ZIP 75503
  • Phone: (903) 794-7874

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NPI Details

Ronald David Rush, MD is a general practice in Texarkana, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ronald David Rush, MD NPI is 1184802381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5503 N STATELINE AVE
TEXARKANA, TX
ZIP 75503-303
Phone: (903) 794-7874
Fax: (903) 794-0740

The enumeration date for this NPI number is 2/11/2008 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeK8971TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1145165001MEDICAIDARKANSAS
200381QMEDICARE PINTEXAS
3144733601MEDICAIDTEXAS
4145366002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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