Organization
TERRI ANNE RUSSELL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI R LAWS (BILLING MGR)
(512) 467-7111
Entity
Organization
Contact information
Practice address
811 E 32ND ST, AUSTIN, TX 78705-2507
(512) 467-7111
(512) 467-8482
Mailing address
811 E 32ND ST, AUSTIN, TX 78705-2507
(512) 467-7111
(512) 467-8482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H4663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E73457
UPIN
TX
Enumeration date
03/05/2008
Last updated
03/05/2008
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