National Provider Identifier Database

RUSSELL S DICKERSON MD
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

RUSSELL S DICKERSON MD
1101 N 19TH STREET
SUITE NO 114
ABILENE, TX79601
Phone: 325-670-5320
Fax: 325-670-5329
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for RUSSELL S DICKERSON MD

NPI Number 1740367838
Legal business name
LBN
RUSSELL S DICKERSON MD
Authorized official RUSSELL DICKERSON - (MD)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: J1517

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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