Organization
T. JEFF RUSSELL, M.D., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KITCHER (CREDENTIALING)
(214) 522-2661
Entity
Organization
Contact information
Practice address
2801 LEMMON AVE WEST, SUITE 310, DALLAS, TX 75204
(214) 522-2661
(214) 522-5469
Mailing address
2801 LEMMON AVE WEST, SUITE 310, DALLAS, TX 75204
(214) 522-2661
(214) 522-5469
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144819301
—
TX
01
—
180041912
RAILROAD MEDICARE
TX
Enumeration date
04/04/2007
Last updated
06/03/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up