DR. Kimberly Tanis Russell, MD

NPI #1720130305 in Fort Cavazos, Texas

Provider Information

NPI Number: 1720130305
Entity Type: Individual
Name: DR. Kimberly Tanis Russell, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 17, 2007
Last Updated: Feb 20, 2024

Practice Location

Address: 36065 SANTE FE AVE
City: Fort Cavazos
State: Texas
ZIP Code: 76544-5044
Phone: (254) 288-8932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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