Provider Demographics
NPI:1508831116
Name:RUSHING, LIGE B (MD)
Entity Type:Individual
Prefix:DR
First Name:LIGE
Middle Name:B
Last Name:RUSHING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8210 WALNUT HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4418
Mailing Address - Country:US
Mailing Address - Phone:214-368-3611
Mailing Address - Fax:214-696-3695
Practice Address - Street 1:8210 WALNUT HILL LN
Practice Address - Street 2:STE# 120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4405
Practice Address - Country:US
Practice Address - Phone:214-368-3611
Practice Address - Fax:214-696-3695
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXC2589207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX006746Medicare ID - Type Unspecified
TXD67697Medicare UPIN