Russell, Tiffany Lee
Russell, Tiffany Lee is an individual health care provider with primary practice located at 697 Louisiana Rd , Dyess Afb TX 79607-1141. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Russell, Tiffany Lee can be contacted via phone (325) 696-6600.Contact Information
Primary practice address
697 Louisiana Rd
Dyess Afb TX 79607-1141
Phone: (325) 696-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | T2968 | Texas |
Profile Details
| NPI number | 1811525595 |
|---|---|
| LBN Legal business name | Russell, Tiffany Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2020 |
| Last updated | Sep 14th, 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.
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