Denisa Kavikova Russell, PA
Denisa Kavikova Russell, PA is a Physician Assistant in Prosper, Texas. Qualified in 2012, 14 years ago. Practices with Legacy Dermatology , PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 14
- Licensed in
- TX
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
821 N Coleman St Ste 100Prosper, TX 75078-2304
Phone: (972) 469-2626
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA08261 (TX) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA08261 (TX) |
Record details
| NPI number | 1750628798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 10, 2013 |
| Last updated in NPPES | July 8, 2025 |
| Certification date | July 8, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Legacy Dermatology ,Pllc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Prosper
-
Benoy Abraham George, CSA, LSA
2611 Townlake Dr, Prosper, TX 75078-8979 · (972) 974-2993
-
Lone Star Surgical Group PLLC
2611 Townlake Dr, Prosper, TX 75078-8979 · (972) 974-2993
-
Shaun Michael Shore, PA-C
960 Caribou Dr, Prosper, TX 75078-7066 · (469) 343-6333