Individual
DAWN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13737 NOEL RD STE 1400, DALLAS, TX 75240-2004
(214) 754-8700
(877) 614-6192
Mailing address
13737 NOEL RD STE 1400, DALLAS, TX 75240-2004
(214) 754-8700
(877) 614-6192
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
293592
CA
164X00000X
Licensed Vocational Nurse
Primary
301014
TX
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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