Mark Dale Russell in Lubbock - Chiropractor
Mark Dale Russell - NPI 1689671315
Mark Dale Russell is a Chiropractor in Lubbock, Texas. Mark Dale Russell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Dale Russell is 1689671315. The last update date is 2014-04-01.
Mark Dale Russell's current location address is 5309 44th St, Lubbock, Texas. You can contact this provider via phone number 8067924041. The mailing address for Mark Dale Russell is 5309 44th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Dale Russell |
|---|---|
| Address | 5309 44th St, Lubbock, Texas |
| Phone Number | 8067924041 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1689671315 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2014-04-01 |
Provider Mailing Address Detail
| Address | 5309 44th St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794141321 |
| Phone Number | 8067924041 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5912 |
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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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What is the unique identification code assigned to Mark Dale Russell by the Centers for Medicare & Medicaid Services?
The Mark Dale Russell has been issued the NPI (National Provider Identifier) 1689671315. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Dale Russell?
The Mark Dale Russell is situated at 5309 44Th St, in the city of Lubbock, state of TX, with the zip code 794141321.
What is Mark Dale 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 Mark Dale Russell is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date was the 1689671315 assigned to Mark Dale Russell?
The Mark Dale Russell was issued its 1689671315 on 2005-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark Dale Russell's information last updated?
The Mark Dale Russell's information was last updated on 2014-04-01.