Van Husen, Russell
Van Husen, Russell is an individual health care provider with primary practice located at 2405 W Missouri Ave , Midland TX 79701-6800. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Van Husen, Russell can be contacted via phone (432) 697-1061.Contact Information
Primary practice address
2405 W Missouri Ave
Midland TX 79701-6800
Phone: (432) 697-1061
Fax: (432) 697-7089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M6927 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | M6927 | Texas |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | M6927 | Texas |
Profile Details
| NPI number | 1912101361 |
|---|---|
| LBN Legal business name | Van Husen, Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Apr 15th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912101361 | NPPES |
| Texas | Other | 8J7359 | MEDICARE PROVIDER NUMBER |
| Texas | MEDICAID | 81521235 | MEDICARE PROVIDER NUMBER |
| Texas | Other | 8J0221 | MEDICARE PROVIDER NUMBER |
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