Individual
PHILLIP RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2413 BERYL DR, PRINCETON, TX 75407-3247
(469) 573-0029
Mailing address
2413 BERYL DR, PRINCETON, TX 75407-3247
(469) 573-0029
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
TX
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us