| Dr Justen Heath Rush, DC | |
|
1617 Fannin St Apt 2302, Houston, TX 77002-7654 | |
| (916) 243-9200 | |
| Not Available |
| Full Name | Dr Justen Heath Rush |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Rehabilitation |
| Location | 1617 Fannin St Apt 2302, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861157752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 14891 (Texas) | Primary |
| Provider Name | Emerald Chiropractic Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104545805 PECOS PAC ID: 3577920446 Enrollment ID: O20230608000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justen Heath Rush, DC 1617 Fannin St Apt 2302, Houston, TX 77002-7654 Ph: (916) 243-9200 | Dr Justen Heath Rush, DC 1617 Fannin St Apt 2302, Houston, TX 77002-7654 Ph: (916) 243-9200 |
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