Smith, Russell Alan

Smith, Russell Alan is an sole proprietor health care provider with primary practice located at 1819 Jay Ell Dr # 1 , Richardson TX 75081-1837. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Smith, Russell Alan can be contacted via phone (888) 344-2947.

Contact Information

Primary practice address
1819 Jay Ell Dr # 1 Richardson TX 75081-1837
Phone: (888) 344-2947
Fax: (888) 694-2947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 1151 Texas
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 2557 Texas

Profile Details

NPI number 1346594439
LBN Legal business name Smith, Russell Alan
Credentials CNIM, REPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2012
Last updated Sep 4th, 2019 - about 5 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.

Request for update

Popular Providers