MARTIN A. DERUSHA, JR., D.O,, P.A.

FORT WORTH, TX
NPI1497801211
Other NameMARTIN DERUSHA, JR., D.O.
Entity TypeOrganization
Authorized ContactMARTIN ALLYN DERUSHA
Owner
817-882-0984
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  K0454)
Enumeration Date2007-01-26
Last Update Date2020-08-22
Business Address
MARTIN A. DERUSHA, JR., D.O,, P.A.
1510 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2027
Phone number: 817-882-0984
Mailing Address
MARTIN A. DERUSHA, JR., D.O,, P.A.
1510 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2027
Phone number: 817-882-0984