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Martin A Derusha, DO
Emergency Medicine Physician in Fort Worth, Texas
NPI 1922046507

Martin A Derusha is a Emergency Medicine Physician based in Fort Worth, TX. Martin A Derusha practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Martin A Derusha is 1922046507 and holds a License No. K0454 (Texas).

The current practice location address for Martin A Derusha is 1506 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-882-0984 and via fax at 817-882-9978.

Location: 1506 Pennsylvania Ave, Fort Worth, TX, 76104-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922046507
Provider Name
Martin A Derusha
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1506 Pennsylvania Ave, Fort Worth, TX, 76104-2027
Phone Number
817-882-0984
Fax Number
817-882-9978
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H0101698 01 TX DPS
institution
Provider Business Practice Location Address Details
Address
1506 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2027
Phone Number
817-882-0984
Fax Number
817-882-9978
person
Provider Business Mailing Address Details
Address
1506 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2027
Phone Number
817-882-0984
Fax Number
817-882-9978
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
K0454 (Texas)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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