Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL J TANNER, P.A.-C
ActiveRUSSELL J TANNER, P.A.-C is a Medical Physician Assistant healthcare provider located in BRIDGEPORT, Texas. NPI 1871544486 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BRIDGEPORT, TX
Registration Details
- NPI Number
- 1871544486
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.237216852206 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA02552 (TX)
Practice Information
- Address
-
808 WOODROW WILSON RAY CIRBRIDGEPORT, TX, 764262061Browse TX providers · Browse ZIP 76426
- Phone
- 9406832297
- Fax
- 9406832984
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BRIDGEPORT, TX
| Name | Credential | NPI |
|---|---|---|
| MICHAEL A MILLIS | P.A.-C | 1659324739 |
| KEVIN LEE DAVIS | PA-C | 1750739405 |
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.