Michael Russell in College Station - Professional
Michael Russell - NPI 1285640128
Michael Russell is a Professional in College Station, Texas. Michael Russell practices all healthcare services and medical treatments related to Professional. The NPI Number for Michael Russell is 1285640128. The last update date is 2007-07-08.
Michael Russell's current location address is 207 Rock Prairie Rd, College Station, Texas. You can contact this provider via phone number 9796933393 and fax number 9796947337. The mailing address for Michael Russell is 207 Rock Prairie Rd, College Station, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Russell |
|---|---|
| Address | 207 Rock Prairie Rd, College Station, Texas |
| Phone Number | 9796933393 |
| Fax Number | 9796947337 |
| Sole Proprietor | Y |
| Credentials | M.A., D.MI |
NPI Number Detail
| NPI Number | 1285640128 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 207 Rock Prairie Rd |
|---|---|
| City | College Station |
| State | Texas (TX) |
| Post Code | 778458777 |
| Phone Number | 9796933393 |
| Fax Number | 9796947337 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 9957 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2809LC | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Russell by the Centers for Medicare & Medicaid Services?
The Michael Russell has been issued the NPI (National Provider Identifier) 1285640128, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Russell?
The Michael Russell is physically situated at 207 Rock Prairie Rd, in the city of College Station, state of TX, with the postal code 778458777.
What is Michael Russell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Russell is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285640128 to Michael Russell?
The Centers for Medicare & Medicaid Services originally issued the 1285640128 to Michael Russell on 2006-07-31.
As of what date were the details related to Michael Russell most recently updated or revised?
The information pertaining to Michael Russell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.