Provider Demographics
NPI:1437963758
Name:RUSHATSI, RENE
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:RUSHATSI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3874 PURDUE LN
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-8405
Mailing Address - Country:US
Mailing Address - Phone:817-477-7747
Mailing Address - Fax:
Practice Address - Street 1:3874 PURDUE LN
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-8405
Practice Address - Country:US
Practice Address - Phone:817-477-7747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter