T. Jeff Russell, M.d., P.a

NPI #1063534758 in Dallas, Texas

Provider Information

NPI Number: 1063534758
Entity Type: Organization
Organization Name: T. Jeff Russell, M.d., P.a
Primary Specialty: Ophthalmology
Enumeration Date: Apr 4, 2007
Last Updated: Jun 3, 2008

Practice Location

Address: 2801 LEMMON AVE WEST
Address 2: SUITE 310
City: Dallas
State: Texas
ZIP Code: 75204
Phone: (214) 522-2661

Authorized Official

Name: KIMBERLY KITCHER
Title: CREDENTIALING
Phone: (214) 522-2661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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