Rush Family Health Care, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

K8971 Issued in TX

Legal business name

RUSH FAMILY HEALTH CARE, PA

Practice address

5503 N Stateline Ave
Texarkana, TX 75503-5303

Phone

(903) 794-7874

Fax

(903) 794-0740

NPI assigned

Feb 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald David Rush

Title

Ceo

Phone

(903) 794-7874

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukti Parbhoo, MD

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1528592862
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1609911494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 N STATELINE AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035303",
            "telephone_number": "903-794-7874",
            "fax_number": "903-794-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 N STATELINE AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035303",
            "telephone_number": "903-794-7874",
            "fax_number": "903-794-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH FAMILY HEALTH CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-794-7874"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K8971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145366002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144733601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen A Rountree, MD
• Terri A Rowe, LMSW
• Royael Health Care Services, Inc.
• Morgen Melinda Rozenboom, M.D.
• Runnin WJ Therapeutic Center Inc
• Ronald David Rush, MD
• April Renee Russell, CLD
• Garreth Glen Russell, PHARMD
• Odia O'Dela Russette, FNP
• Ronald Lloyd Russette, APRN

• Primary Care Clinic/Center in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.