Charles B Russey in Southlake - Family Medicine
Charles B Russey - NPI 1477651826
Charles B Russey is a Family Medicine in Southlake, Texas. Charles B Russey practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles B Russey is 1477651826. The last update date is 2020-08-22.
Charles B Russey's current location address is 480 W Southlake Blvd, Southlake, Texas. You can contact this provider via phone number 8174162221 and fax number 8174245400. The mailing address for Charles B Russey is 480 W Southlake Blvd, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles B Russey |
|---|---|
| Address | 480 W Southlake Blvd, Southlake, Texas |
| Phone Number | 8174162221 |
| Fax Number | 8174245400 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Hardin Renee Heather |
| Telephone Number | 8141622221 |
NPI Number Detail
| NPI Number | 1477651826 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 480 W Southlake Blvd |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 76092 |
| Phone Number | 8174162221 |
| Fax Number | 8174245400 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | K2373 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles B Russey by the Centers for Medicare & Medicaid Services?
The Charles B Russey has been issued the NPI (National Provider Identifier) 1477651826, 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 Charles B Russey?
The Charles B Russey is physically situated at 480 W Southlake Blvd, in the city of Southlake, state of TX, with the postal code 76092.
What is Charles B Russey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles B Russey is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date was the 1477651826 assigned to Charles B Russey?
The Charles B Russey was issued its 1477651826 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles B Russey most recently updated?
The details pertaining to the Charles B Russey, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.