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Individual
RUSSELL GENE DOUBRAVA
Active
Individual
RUSSELL GENE DOUBRAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M1642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176202301
—
TX
01
—
857490
BCBS
—
Enumeration date
04/21/2006
Last updated
12/15/2025
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