Toll, Russell Tennyson
Toll, Russell Tennyson is an individual health care provider with primary practice located at 771 E Southlake Blvd Ste 222 , Southlake TX 76092-7065. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / EEG, Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering, Speech, Language and Hearing Service Providers / Specialist/Technologist. Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering is his primary health care specialty. Toll, Russell Tennyson can be contacted via phone (817) 888-6974.Contact Information
Primary practice address
771 E Southlake Blvd Ste 222
Southlake TX 76092-7065
Phone: (817) 888-6974
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / EEG | 246ZE0500X | ||
Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering | 246ZB0301X | ||
Speech, Language and Hearing Service Providers / Specialist/Technologist | 235500000X |
Profile Details
NPI number | 1356053565 |
---|---|
LBN Legal business name | Toll, Russell Tennyson |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2022 |
Last updated | Dec 22nd, 2022 - about 2 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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