Russey, Charles Byrom

Russey, Charles Byrom is an individual health care provider with primary practice located at 480 W Southlake Blvd Ste 115, Southlake TX 76092-6162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russey, Charles Byrom can be contacted via phone (817) 416-2221.

Contact Information

Primary practice address
480 W Southlake Blvd Ste 115 Southlake TX 76092-6162
Phone: (817) 416-2221
Fax: (817) 424-5400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K2373 Texas

Profile Details

NPI number 1437141041
LBN Legal business name Russey, Charles Byrom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2007 - about 17 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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