Individual
NORMAN ALAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430068034
RAILROAD MEDICARE
TX
Enumeration date
01/16/2007
Last updated
01/05/2026
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