Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY TANIS RUSSELL, MD
ActiveDR. KIMBERLY TANIS RUSSELL, MD is a Family Medicine healthcare provider located in FORT CAVAZOS, Texas. NPI 1720130305 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT CAVAZOS, TX
Registration Details
- NPI Number
- 1720130305
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2007 (19.545096935697 yrs)
- Last Updated
- Feb 20, 2024
- Licenses
-
MD069021L (PA)N0422 (TX)
Practice Information
- Address
-
36065 SANTE FE AVEFORT CAVAZOS, TX, 765445044Browse TX providers · Browse ZIP 76544
- Phone
- 2542888932
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FORT CAVAZOS, TX
| Name | Credential | NPI |
|---|---|---|
| MR. KIEN TRAN | MD | 1497732580 |
| DR. DREW CRAIG BAIRD | M.D. | 1871760546 |
| DR. MICHAEL IAN ARNOLD | D.O. | 1649401530 |
| DR. HAROON SAMAR | MD, MPH | 1881980480 |
| DR. HOLLY KATHLEEN PAYNE | MD | 1669811873 |
| DR. SAMANTHA RAE GREEN | MD | 1609435205 |
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.