Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES BYROM RUSSEY, MD
ActiveMR. CHARLES BYROM RUSSEY, MD is a Family Medicine healthcare provider located in SOUTHLAKE, Texas. NPI 1437141041 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SOUTHLAKE, TX
Registration Details
- NPI Number
- 1437141041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2005 (20.941438578495 yrs)
- Last Updated
- Jul 8, 2007
- License
-
K2373 (TX)
Practice Information
- Address
-
480 W SOUTHLAKE BLVDSTE 115SOUTHLAKE, TX, 760926162Browse TX providers · Browse ZIP 76092
- Phone
- 8174162221
- Fax
- 8174245400
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SOUTHLAKE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. RONNIE MITCHELL | D. O. | 1043212343 |
| SUSAN GARZA ANDERSON | MD | 1114927118 |
| CHRISTOPHER MURPHY KING | MD | 1750382461 |
| LORI MASSEY KING | MD | 1891796074 |
| DR. LAURA ANNE RIZZO | MD | 1598744963 |
| MICHAEL W DOTTI | M.D. | 1497718936 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.