Search › Texas › 207P00000X
Martin Derusha, DO
NPI 1922046507 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1506 Pennsylvania Ave
Fort Worth, TX 76104 - Phone
- (817) 882-0984
- Fax
- (817) 882-9978
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas