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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTIN A. DERUSHA, JR., D.O,, P.A.

Active Organization

MARTIN A. DERUSHA, JR., D.O,, P.A. is a Family Medicine organization located in FORT WORTH, Texas. NPI 1497801211 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT WORTH, TX

Registration Details

NPI Number
1497801211
Provider Type
Organization
NPI Issued
Jan 26, 2007 (19.574029349567 yrs)
Last Updated
Aug 22, 2020
License
K0454 (TX)

Practice Information

Address
1510 PENNSYLVANIA AVE
FORT WORTH, TX, 761042027
Browse TX providers · Browse ZIP 76104
Phone
8178820984
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.