Renny Beau Russell in Tulsa - Chiropractor

Renny Beau Russell - NPI 1003905456

Renny Beau Russell is a Chiropractor in Tulsa, Oklahoma. Renny Beau Russell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Renny Beau Russell is 1003905456. The last update date is 2009-04-02.

Renny Beau Russell's current location address is 8028 E 1st St, Tulsa, Oklahoma. You can contact this provider via phone number 9188508908. The mailing address for Renny Beau Russell is 8028 E 1st St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Renny Beau Russell
Address 8028 E 1st St, Tulsa, Oklahoma
Phone Number 9188508908
Fax Number
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1003905456
Provider Enumeration Date 2006-10-12
Last Updated Date 2009-04-02

Provider Mailing Address Detail

Address 8028 E 1st St
City Tulsa
State Oklahoma (OK)
Post Code 741122130
Phone Number 9188508908
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2008015663
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Renny Beau Russell

What is the unique 10-digit identifier code assigned to Renny Beau Russell by the Centers for Medicare & Medicaid Services?

The Renny Beau Russell has been issued the NPI (National Provider Identifier) 1003905456 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Renny Beau Russell's facilities are geographically located?

The facilities of Renny Beau Russell are physically situated at the following location: 8028 E 1St St, Tulsa, OK, 741122130.

What is Renny Beau Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Renny Beau Russell is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date was the 1003905456 assigned to Renny Beau Russell?

The Renny Beau Russell was issued its 1003905456 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Renny Beau Russell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Renny Beau Russell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-02.

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