Russell Doubrava Do Pa in Decatur - Urology
Russell Doubrava Do Pa - NPI 1639135452
Russell Doubrava Do Pa is a Urology in Decatur, Texas. Russell Doubrava Do Pa practices all healthcare services and medical treatments related to Urology. The NPI Number for Russell Doubrava Do Pa is 1639135452. The last update date is 2020-08-22.
Russell Doubrava Do Pa's current location address is 2010 Ben Merritt Dr, Decatur, Texas. You can contact this provider via phone number 9406270088 and fax number 9406270288. The mailing address for Russell Doubrava Do Pa is 2010 Ben Merritt Dr, Decatur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell Doubrava Do Pa |
|---|---|
| Address | 2010 Ben Merritt Dr, Decatur, Texas |
| Phone Number | 9406270088 |
| Fax Number | 9406270288 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Doubrava G Russell |
| Credentials | DO |
| Telephone Number | 9406270088 |
NPI Number Detail
| NPI Number | 1639135452 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2010 Ben Merritt Dr |
|---|---|
| City | Decatur |
| State | Texas (TX) |
| Post Code | 76234 |
| Phone Number | 9406270088 |
| Fax Number | 9406270288 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0072MU | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Russell Doubrava Do Pa by the Centers for Medicare & Medicaid Services?
The Russell Doubrava Do Pa has been issued the NPI (National Provider Identifier) 1639135452, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Russell Doubrava Do Pa's facilities are situated?
The facilities of Russell Doubrava Do Pa are physically located at the following address: 2010 Ben Merritt Dr, Decatur, TX, 76234.
What is Russell Doubrava Do Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Doubrava Do Pa's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
When did Russell Doubrava Do Pa receive its 1639135452 assignment?
The Russell Doubrava Do Pa was assigned its 1639135452 on 2006-04-21, which is the date when this unique identifier was issued to the organization.
As of what date were the Russell Doubrava Do Pa's details last updated?
The information pertaining to the Russell Doubrava Do Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.