Rust, Stace S

Rust, Stace S is an individual health care provider with primary practice located at 414 Navarro St Suite 1616, San Antonio TX 78205-2516. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Rust, Stace S can be contacted via phone (210) 224-2655.

Contact Information

Primary practice address
414 Navarro St Suite 1616 San Antonio TX 78205-2516
Phone: (210) 224-2655
Fax: (866) 644-0889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X L5890 Texas
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X L5890 Texas

Profile Details

NPI number 1639145725
LBN Legal business name Rust, Stace S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639145725 NPPES
Texas MEDICAID 175939102

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