Individual
ALAN MICHAEL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
3800 GAYLORD PKWY STE 120, FRISCO, TX 75034-9418
(805) 559-2526
Mailing address
3800 GAYLORD PKWY STE 120, FRISCO, TX 75034-9418
(805) 559-2526
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
AT8943
TX
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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