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Contact Information

JORDAN A GRUSH, DO
901 RANCHO LN STE 135
LAS VEGAS, NV89106-3826
 Phone: 702-383-7885
 Fax: 702-383-8235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JORDAN A GRUSH · (Male)

NPI # 1801384615
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/26/2018
Last updated 04/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # T1712
Hospital affiliation(s)
  • SOUTH TEXAS HEALTH SYSTEM - (Acute Care)
    1102 W TRENTON ROAD
    EDINBURG, TX 78539
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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