Charles B Russey
NPI #1477651826 in Southlake, Texas
Provider Information
- NPI Number
- 1477651826
- Entity Type
- Organization
- Organization Name
- Charles B Russey
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MS. HEATHER RENEE HARDIN
- Title
- OFFICE MANAGER
- Phone
- (814) 162-2221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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