Russell, Michael Edward
Russell, Michael Edward is an individual health care provider with primary practice located at 3414 Golden Rd , Tyler TX 75701-8336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Russell, Michael Edward can be contacted via phone (903) 939-7500.Contact Information
Primary practice address
3414 Golden Rd
Tyler TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 939-7728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | J2290 | Texas |
Profile Details
| NPI number | 1720076052 |
|---|---|
| LBN Legal business name | Russell, Michael Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Oct 18th, 2022 - about 2 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.
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