Schroeder, Russell D.

Schroeder, Russell D. is an individual health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761-5001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Schroeder, Russell D. can be contacted via phone (432) 640-1273.

Contact Information

Primary practice address
500 W 4Th St Odessa TX 79761-5001
Phone: (432) 640-1273
Fax: (432) 640-4606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J6720 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X J6720 Texas

Profile Details

NPI number 1346274859
LBN Legal business name Schroeder, Russell D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 10th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346274859 NPPES
Texas MEDICAID 167019204

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