Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK BRENNAN RUSSO, PT, DPT
Active Sole ProprietorDR. MARK BRENNAN RUSSO, PT, DPT is a Home Health healthcare provider located in LEWISVILLE, Texas. NPI 1669784419 is currently active in the NPPES registry. Verify at CMS.
Home Health · LEWISVILLE, TX
Registration Details
- NPI Number
- 1669784419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2010 (16.115483285739 yrs)
- Last Updated
- Apr 9, 2015
- License
-
1178901 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
751 HEBRON PKWY STE 160LEWISVILLE, TX, 750575120Browse TX providers · Browse ZIP 75057
- Phone
- 9723151234
- Primary Specialty
-
Home Health
251E00000X
Other Home Health Providers in LEWISVILLE, TX
| Name | Credential | NPI |
|---|---|---|
| MS. TANDIS RENEE HOLLINGSWORTH | OWN/ADMINISTRATOR | 1780870550 |
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.