Individual
DR. RUSSELL WARREN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1643 E 2ND ST BLDG C, AUSTIN, TX 78702-4411
(512) 451-0315
(512) 804-3868
Mailing address
PO BOX 3548, AUSTIN, TX 78764-3548
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H7043
TX
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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