CHARLES B RUSSEY

Family Medicine Physician

NPI: 1477651826Organization

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

K2373(TX)

Contact & Hours

Address: 480 W SOUTHLAKE BLVD, STE 115
SOUTHLAKE, TX 76092
Phone: (817) 416-2221

Location

Practice Location

480 W SOUTHLAKE BLVD, SOUTHLAKE, TX

Quick Facts

NPI: 1477651826
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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