MARTIN A DERUSHA

FORT WORTH, TX
NPI1922046507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  K0454)
Enumeration Date2006-06-03
Last Update Date2023-03-07
Business Address
-- MARTIN A DERUSHA DO
1506 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2027
Phone number: 817-882-0984
Mailing Address
-- MARTIN A DERUSHA DO
1506 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2027
Phone number: 817-882-0984
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