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Contact Information

JAMES M RUSSELL, DO
6300 TROON RD
FORT WORTH, TX76132-4426
 Phone: 817-263-4977
 Fax: 817-292-0120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAMES M RUSSELL · (Male)

NPI Number 1689790636
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/21/2007
Last updated 12/26/2014 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # E3429
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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