Individual
DR. THOMAS JEFFREY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 TRAVIS ST STE 170, DALLAS, TX 75204-1480
(214) 522-2661
(214) 522-5469
Mailing address
3535 TRAVIS ST STE 170, DALLAS, TX 75204-1480
(214) 522-2661
(214) 522-5469
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H2746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123810705
—
TX
01
—
180041912
RAILROAD MEDICARE
TX
01
—
8475M0
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/26/2006
Last updated
04/27/2020
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