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Contact Information

STEFANIE N RUST, DO
2201 WEST LAMPASAS STREET
ENNIS, TX75119
 Phone: 972-875-0900
 Fax: 469-256-2154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for STEFANIE N RUST · (Female)

NPI Number 1154684355
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/21/2012
Last updated 01/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E8294
  • TX License # Q4269
  • AR Medicaid 201593001
Hospital affiliation(s)
  • NEA BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    4800 EAST JOHNSON AVENUE
    JONESBORO, AR 72401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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