RUSSELL S DICKERSON MD; NPI #1740367838

Contact Information

RUSSELL S DICKERSON MD

1101 N 19TH STREET
SUITE NO 114
ABILENE, TX 79601

Phone: 325-670-5320
Fax: 325-670-5329
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neurology	2084N0400X	13	Physician/Neurology

Indicates primary specialty

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NPI Profile & details for RUSSELL S DICKERSON MD

NPI # 1740367838

LBN Legal business name RUSSELL S DICKERSON MD

Authorized official RUSSELL DICKERSON - (MD)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/01/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

J1517

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RUSSELL S DICKERSON MD

Contact Information

Specialty

Neurology

NPI Profile & details for RUSSELL S DICKERSON MD

Reviews for RUSSELL S DICKERSON MD