Day, Miles Russell
Day, Miles Russell is an individual health care provider with primary practice located at 4515 Marsha Sharp Fwy , Lubbock TX 79407-2520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Day, Miles Russell can be contacted via phone (806) 744-7223.Contact Information
Primary practice address
4515 Marsha Sharp Fwy
Lubbock TX 79407-2520
Phone: (806) 744-7223
Fax: (806) 740-3325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | J6400 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | J6400 | Texas |
Profile Details
| NPI number | 1891757654 |
|---|---|
| LBN Legal business name | Day, Miles Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Nov 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891757654 | NPPES |
| Texas | Other | 111392100 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 202011568 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | X2475 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 100153300A | FIRSTCARE COMMERCIAL |
| Texas | Other | 82687Z | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 132763702 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 132763703 | FIRSTCARE COMMERCIAL |
| Texas | Other | 202011568 | FIRSTCARE COMMERCIAL |
| Texas | MEDICAID | 111392101 | FIRSTCARE COMMERCIAL |
| Texas | Other | 87171G | FIRSTCARE COMMERCIAL |
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