Doubrava, Russell Gene
Doubrava, Russell Gene is an sole proprietor health care provider with primary practice located at 2451 S Fm 51 Suite 100, Decatur TX 76234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Doubrava, Russell Gene can be contacted via phone (940) 627-0088.Contact Information
Primary practice address
2451 S Fm 51 Suite 100
Decatur TX 76234
Phone: (940) 627-0088
Fax: (940) 627-0288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | M1642 | Texas |
Profile Details
| NPI number | 1992761712 |
|---|---|
| LBN Legal business name | Doubrava, Russell Gene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jun 4th, 2019 - about 5 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 | 1992761712 | NPPES |
| Texas | MEDICAID | 176202301 | |
| Texas | Other | 857490 |
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