Charles Mark Russell PA

  • NPI 1043218720
According to our database, the NPI number for Charles Mark Russell PA is 1043218720 and activated since 18 years ago. Charles Mark Russell PA is an individual provider who specializes in Medical, and the primary practice location is 6157 Nw Loop 410, San Antonio, TX 78238. You can also contact Charles Mark Russell PA via telephone number is (210) 523-1411. Provider NPI information was last updated on 10/18/2016.

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Overview of Charles Mark Russell PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/07/2005
  • Last updated: 10/18/2016

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: PA00353
  • License State: TX

Provider Mailing Address

  • Address: 6157 Nw Loop 410
    Ste. 124
    San Antonio, TX 78238
  • Phone: 210-523-1411
  • Fax: 210-523-9307

Provider Practice Location

  • Address: 6157 Nw Loop 410
    Ste. 124
    San Antonio, TX 78238
  • Phone: 210-523-1411
  • Fax: 210-523-9307

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: PA00353
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 312676501
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: WELLMED MEDICAID

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Charles Mark Russell PA?
  • A: The npi number for Charles Mark Russell PA is 1043218720.
  • Q: What are Charles Mark Russell PA's specialties?
  • A: Charles Mark Russell PA's specialties are Medical and different specialities.
  • Q: What is the medical license for Charles Mark Russell PA?
  • A: The medical license number for Charles Mark Russell PA is PA00353 and issued in TX in USA.
  • Q: Where is Charles Mark Russell PA practice location?
  • A: Charles Mark Russell PA is practicing at 6157 Nw Loop 410, San Antonio, TX 78238.
  • Q: How to contact Charles Mark Russell PA?
  • A: You can contact Charles Mark Russell PA via 210-523-1411.