Russell, Patrick Todd
Russell, Patrick Todd is an individual health care provider with primary practice located at 800 E Dawson , Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russell, Patrick Todd can be contacted via phone (903) 510-1186.Contact Information
Primary practice address
800 E Dawson
Tyler TX 75701
Phone: (903) 510-1186
Fax: (903) 525-1254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K6781 | Texas |
Profile Details
| NPI number | 1750356382 |
|---|---|
| LBN Legal business name | Russell, Patrick Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | May 5th, 2008 - about 16 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 | 1750356382 | NPPES |
| Texas | MEDICAID | 044058801 |
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Madore, Eric S
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