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Individual

DR. DARIUS GILES RUSSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
VA HEALTH CARE SYSTEM, TEMPLE, TX 76501
(254) 297-3322
(254) 297-3411
Mailing address
3510 RED RIVER ST, AUSTIN, TX 78705-1832
(254) 297-3322
(254) 297-3411

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
157082
NY
207Q00000X
Family Medicine Physician
C162909
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036074934
IL

Other

Enumeration date
08/15/2006
Last updated
12/16/2024
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