Organization
NEUROLOGY AND RADIOLOGY PARTNERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL PACKARD MD (OWNER)
(877) 302-7090
Entity
Organization
Contact information
Practice address
38 RAMBLING RD, PALESTINE, TX 75801-4666
(877) 302-7090
Mailing address
301 YAMATO RD STE 1100, BOCA RATON, FL 33431-4901
(877) 302-7090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L5082
TX
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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