JAMES AVERY RUSH IV, M.D., P.A.
Psychiatric at Fleming Ave, Amarillo, TX

License number
Texas M7583
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. JAMES AVERY RUSH IV M.D.
Title: OWNER
Phone: (254) 624-3999
Address
Address
7308 Fleming Ave, Amarillo, TX 79106
National Provider ID: 1083036651
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAMES AVERY RUSH IV, M.D., PA

Amarillo, TX

Registration:
Feb 23, 2009
Addresses:
5405 Nova Scotia Ct, Amarillo, TX 79119 (Mailing)
7308 Fleming Ave, Amarillo, TX 79106
State ID:
0801090363
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
James Avery Rush (President , Treasurer , Secretary , Director , Member , Vice-President)
Agent:
James Avery Rush Iv,5405 Nova Scotia Ct, Amarillo, TX 79119 (Physical)
TIN:
32038957638

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