Individual
DR. WILLIAM RUSSELL FELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3802 22ND, #100, LUBBOCK, TX 79410
(806) 792-5331
(806) 792-9417
Mailing address
3802 22ND, #100, LUBBOCK, TX 79410
(806) 792-5331
(806) 792-9417
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4303
AK
207Y00000X
Otolaryngology Physician
Primary
J5090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328541301
—
TX
05
—
MD03211
—
AK
Enumeration date
08/29/2005
Last updated
03/24/2016
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