MR. CHARLES RUSSEY, MD

Family Medicine

Active Individual
NPI: 1437141041

Practice Address

480 W SOUTHLAKE BLVD
STE 115
Southlake, TX 76092

Phone: (817) 416-2221

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes K2373 (TX)

Frequently Asked Questions

NPI 1437141041 is the National Provider Identifier for MR. CHARLES RUSSEY, MD, a Family Medicine provider located in Southlake, TX. This NPI was enumerated on August 19, 2005.
MR. CHARLES RUSSEY, MD practices at 480 W SOUTHLAKE BLVD, STE 115, Southlake, TX 76092.

Quick Facts

NPI
1437141041
Type
Individual
Enumerated
Aug 19, 2005
Last Updated
Jul 8, 2007

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