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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639145725 | NPPES |
Texas | MEDICAID | 175939102 |
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