Individual
DR. RUSSEL W. POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14370 W STATE HWY 29, SUITE 6, LIBERTY HILL, TX 78642-5795
(512) 778-9009
(512) 778-9059
Mailing address
14370 W STATE HWY 29, SUITE 6, LIBERTY HILL, TX 78642-5795
(512) 778-9009
(512) 778-9059
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2999
TX
Other
Enumeration date
12/04/2006
Last updated
12/06/2012
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