Individual
DAVID D RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP, CRTS
Contact information
Practice address
4410 DILLON LN STE 17, CORPUS CHRISTI, TX 78415-5335
(361) 808-7382
(361) 808-7367
Mailing address
4410 DILLON LN STE 17, CORPUS CHRISTI, TX 78415-5335
(361) 808-7382
(361) 808-7367
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
ATP 4124
—
247200000X
Other Technician
Primary
ATP 4124
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008965
CRTS
—
01
—
4124
ATP
—
Enumeration date
04/05/2011
Last updated
04/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us