Provider Demographics
NPI:1568500973
Name:RUSH, MAURICE KEVIN (CSA)
Entity type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:KEVIN
Last Name:RUSH
Suffix:
Gender:M
Credentials:CSA
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Mailing Address - Street 1:3601 4TH ST
Mailing Address - Street 2:STOP 8312
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-8312
Mailing Address - Country:US
Mailing Address - Phone:806-743-2370
Mailing Address - Fax:806-743-2113
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:STOP 8312
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-8312
Practice Address - Country:US
Practice Address - Phone:806-743-2370
Practice Address - Fax:806-743-2113
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2014-08-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant