Russell Wayne Prause, D.C.

NPI #1821215468 in Columbus, Texas

Provider Information

NPI Number: 1821215468
Entity Type: Individual
Name: Russell Wayne Prause, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1216 WALNUT ST
Address 2: SUITE B.
City: Columbus
State: Texas
ZIP Code: 78934-2127
Phone: (979) 732-6326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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