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

MARTIN A DERUSHA, DO

Active Sole Proprietor

MARTIN A DERUSHA, DO is a Emergency Medicine healthcare provider located in FORT WORTH, Texas. NPI 1922046507 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · FORT WORTH, TX

Registration Details

NPI Number
1922046507
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2006 (20.18772989044 yrs)
Last Updated
Mar 7, 2023
License
K0454 (TX)
Sole Proprietor
Yes

Practice Information

Address
1506 PENNSYLVANIA AVE
FORT WORTH, TX, 761042027
Browse TX providers · Browse ZIP 76104
Phone
8178820984
Fax
8178829978
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in FORT WORTH, TX

Name Credential NPI
HOWARD WILLARD LUND MD 1225026164
DR. DOUGLAS PETER HUME MD 1659360717
DR. WILLIAM HAMPTON CAUDILL II M.D. 1629053665
DR. ROBERT B GENZEL M.D. 1316923030
DR. VANESSA L JOHNSON MD 1598741878
DR. VENKATA R PANDILIPALLI M.D. 1437135423
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.