Porche Russell, APRN
NPI #1760192462 in Hallsville, Texas
Provider Information
- NPI Number
- 1760192462
- Entity Type
- Individual
- Name
- Porche Russell, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN
- Enumeration Date
- Dec 2, 2022
- Last Updated
- Oct 22, 2024
Practice Location
- Address
- 159 BELLE RIVA DR
- City
- Hallsville
- State
- Texas
- ZIP Code
- 75650-6133
- Phone
- (903) 930-1034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
Additional Practice Locations
703 E Marshall Ave
Longview, TX, 75601-5500
(903) 315-2729
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Organizations
| Provider Name | |
|---|---|
| Lone Star Medical Therapy Pllc |
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