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Organization

RUSSELL B SKINNER MD PA

Active
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Organization

RUSSELL B SKINNER MD PA

Active
Other names
Family Health and Wellness of Plano
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL BRENT SKINNER MD (PRESIDENT)
(469) 661-1100
Entity
Organization

Contact information

Practice address
5072 W PLANO PKWY, SUITE 200, PLANO, TX 75093-4476
(469) 661-1100
(469) 661-1104
Mailing address
5072 W PLANO PKWY, SUITE 200, PLANO, TX 75093-4476
(469) 661-1100
(469) 661-1104

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5697
TX

Other

Enumeration date
08/27/2015
Last updated
08/27/2015
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