Individual
RUSSELL GENE DOUBRAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2451 S FM 51 STE 100, DECATUR, TX 76234-3859
(940) 627-0088
(940) 627-0288
Mailing address
1512 TEASLEY LN, DENTON, TX 76205-7282
(940) 442-5209
(940) 222-2720
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M1642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176202301
—
TX
01
—
857490
BCBS
—
Enumeration date
04/21/2006
Last updated
12/15/2025
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