Mark H Bussell MD Cpo PA

NPI #1376763946 in Ft Worth, Texas

Provider Information

NPI Number
1376763946
Entity Type
Organization
Organization Name
Mark H Bussell MD Cpo PA
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Apr 26, 2007
Last Updated
Nov 23, 2011

Practice Location

Address
6116 OAK BEND TRAIL
Address 2
STE 112
State
Texas
ZIP Code
76132-4203
Phone
(817) 346-7800

Authorized Official

Name
MS. RUTH A GOLDEN
Title
PRACTICE ADMINISTRATOR
Phone
(817) 346-7800

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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