Provider Demographics
NPI:1497109433
Name:RUSHING, CALVIN (DPM)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:
Last Name:RUSHING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S COLLINS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4645
Mailing Address - Country:US
Mailing Address - Phone:214-256-3778
Mailing Address - Fax:214-256-3770
Practice Address - Street 1:222 S COLLINS RD STE 101
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4645
Practice Address - Country:US
Practice Address - Phone:214-256-3778
Practice Address - Fax:214-256-3770
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3017213ES0131X, 213E00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty