Individual
DR. RUSSELL WALKER PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 LEWIS LN STE 101, PARIS, TX 75460-9378
(903) 784-0800
Mailing address
495 JOHNSON WOODS DR, PARIS, TX 75460-6332
(214) 763-1987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P3956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3956
TEXAS MEDICAL BOARD
TX
Enumeration date
06/17/2010
Last updated
08/12/2014
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