TERRI ANNE RUSSELL MD NPI 1760652770

NPI Information

TERRI ANNE RUSSELL, MD is a specialist in Austin, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TERRI ANNE RUSSELL, MD NPI is 1760652770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

811 E 32ND ST
AUSTIN, TX
ZIP 78705-507
Phone: (512) 467-7111
Fax: (512) 467-8482

The provider's authorized official is Terri R Laws .
The authorized official title is Billing Mgr and has the following contact phone number (512) 467-7111.

The CLIA number assigned to this NPI record is 45D2010896 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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