Charles B Russey
Charles B Russey is a Family Medicine Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
480 W Southlake Blvd Ste 115Southlake, TX 76092
Phone: (817) 416-2221
Fax: (817) 424-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence K2373 (TX) |
|---|
Record details
| NPI number | 1477651826 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Heather Hardin — Office Manager · (814) 162-2221 |
| Other names | Acute Care And Family Medicine |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 480 W Southlake Blvd, Suite 115, Southlake, TX 76092 |
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