Individual
RUSSELL ALAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM, REPT
Contact information
Practice address
1819 JAY ELL DR # 1, RICHARDSON, TX 75081-1837
(888) 344-2947
(888) 694-2947
Mailing address
1819 JAY ELL DR, RICHARDSON, TX 75081-1837
(888) 344-2947
(888) 694-2947
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
1151
TX
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2557
TX
Other
Enumeration date
10/29/2012
Last updated
09/04/2019
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