Individual
CAROLINE MICHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S CHURCH ST STE A-B, LOCKHART, TX 78644-2713
(512) 376-2999
(512) 376-5562
Mailing address
209 S CHURCH ST STE A-B, LOCKHART, TX 78644-2713
(512) 376-2999
(512) 376-5562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1129526
TX
Other
Enumeration date
07/24/2023
Last updated
07/22/2024
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