Provider Demographics
NPI:1477746014
Name:RUSHING, DEAN H (DC)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:H
Last Name:RUSHING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 FM 967 STE A
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-2983
Mailing Address - Country:US
Mailing Address - Phone:512-295-9345
Mailing Address - Fax:512-295-9347
Practice Address - Street 1:1762 FM 967 STE A
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-2983
Practice Address - Country:US
Practice Address - Phone:512-295-9345
Practice Address - Fax:512-295-9347
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F8099Medicare PIN