TYLER RUSSELL
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1639062607
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1639062607 is the National Provider Identifier for TYLER RUSSELL, a Student in an Organized Health Care Education/Training Program provider located in Shreveport, LA. This NPI was enumerated on May 30, 2025.
TYLER RUSSELL practices at 1501 KINGS HWY, Shreveport, LA 71103.
Quick Facts
- NPI
- 1639062607
- Type
- Individual
- Enumerated
- May 30, 2025
- Last Updated
- May 30, 2025
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