Individual
MR. JAMES MICHAEL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6300 TROON RD, FORT WORTH, TX 76132-4426
(817) 263-4977
(817) 292-0120
Mailing address
6300 TROON RD, FORT WORTH, TX 76132-4426
(817) 263-4977
(817) 292-0120
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
E3429
TX
Other
Enumeration date
03/21/2007
Last updated
12/26/2014
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