Individual
DARRELL LANCE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
4461 COIT RD, SUITE 405, FRISCO, TX 75035-0521
(972) 377-9200
(972) 377-9300
Mailing address
4461 COIT RD, SUITE 405, FRISCO, TX 75035-0521
(972) 377-9200
(972) 377-9300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1170490
TX
Other
Enumeration date
09/04/2007
Last updated
01/14/2014
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