DR. ERIC GLENN RUSSELL (NPI# 1336183904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336183904 |
| Entity Type | Individual |
| Full Name | DR. ERIC GLENN RUSSELL |
| Credential | DC |
| Practice Address |
1205 Washington St Commerce TX 75428-2613 |
| Practice Telephone | 9038863100 |
| Practice Fax Number | 9038863177 |
| Mailing Telephone | 9038863100 |
| Mailing Fax Number | 9038863177 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9291 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852269 | Eric Gordon Russell | Dentist | 4465 S 900 E Ste 100, Salt Lake City, UT 84124-2695 | 2018-05-29 |
| 1235290107 | Eric Martin Russell | Chiropractor | 352 12th St, Plainwell, MI 49080-1154 | 2006-12-13 |
| 1669912267 | Eric Russell | Specialist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2017-03-01 |
| 1215249362 | Eric Russell | Pediatrics | 6621 Fannin St, Houston, TX 77030-2358 | 2010-07-06 |
| 1013243401 | Eric Marc Russell | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2009-10-20 |
| 1235146416 | Eric Russell | Radiology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-08-01 |
| 1033198510 | Eric Brian Russell | Dermatology | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 | 2006-01-12 |
| Street Address |
1205 WASHINGTON ST |
| City | COMMERCE |
| State | TX |
| Zip Code | 75428-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417269010 | Joseph Liistro IIi | Chiropractor | 1205 Washington St, Commerce, TX 75428-2613 | 2010-07-12 |
| 1033320593 | Eric G. Russell | Chiropractor | 1205 Washington St, Commerce, TX 75428-2613 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923900 | Tina Marie Hill | Pharmacist | 2710 State Hwy 50, Commerce, TX 75428 | 2019-10-09 |
| 1548773260 | Sarah Marie Mitchell | Specialist/Technologist | 2600 South Neal Street, Health & Human Performance, Commerce, TX 75428 | 2017-11-16 |
| 1275053936 | Jeffrey Williams | Specialist/Technologist | 2702 Tangle Wood Dr., Commerce, TX 75428 | 2017-06-23 |
| 1821453473 | Smile Corner Pllc | Dentist | 2210 Live Oak Street, Suite C, Commerce, TX 75428 | 2015-12-28 |
| 1851789044 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2710 Highway 24, Commerce, TX 75428 | 2014-12-23 |
| 1982871356 | Latrina Camille Bacy | Counselor | 442 B Wheeler Drive, Commerce, TX 75428 | 2008-05-14 |
| 1770625824 | Commerce Isd | Local Education Agency (LEA) | 604 Culver St., Commerce, TX 75428 | 2007-02-13 |
| 1588691463 | Suzette K. Doescher | Social Worker | 101 King Plz Ste A, Commerce, TX 75428 | 2006-06-27 |
| 1700871498 | Richard R Selvaggi | Family Medicine | 1705 Live Oak St, Commerce, TX 75428 | 2005-09-19 |
| 1194181339 | Synergistic Health Care | Physician Assistant | 1930 Live Oak St, Commerce, TX 75428-2460 | 2016-01-04 |
| Find all providers in zip 75428 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477002871 | Amanda Holley | Chiropractor | 378 Baugh St, Commerce, GA 30529-1557 | 2016-09-26 |
| 1669835567 | Tanya V Martinez Chiropractic Inc | Chiropractor | 6055 E Washington Blvd Ste 335, Commerce, CA 90040-2478 | 2016-03-30 |
| 1457754541 | Donn Blencowe | Chiropractor | 37 State St, Commerce, GA 30529-1920 | 2014-10-02 |
| 1598033789 | Steve Ross | Chiropractor | 2476 South Atlantic Blvd., Commerce, CA 90040-1263 | 2011-12-02 |
| 1053590380 | Ramon Marcial Mendoza | Chiropractor | 2172 S Atlantic Blvd, Commerce, CA 90040-1340 | 2007-11-02 |
| 1841367661 | Craig Eugene Jensen | Chiropractor | 1316 Park St, Commerce, TX 75428-2647 | 2006-11-29 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1013014075 | Kenneth Lee Flint | Chiropractor | 2331 N Elm St, Commerce, GA 30529-2243 | 2006-09-20 |
| 1467564559 | Beverly Joy Poole | Chiropractor | 1941 N Elm St, Commerce, GA 30529-2318 | 2006-08-31 |
| 1962427724 | Amin Nia | Chiropractor | 5211 E. Washington Blvd., Second Floor, Commerce, CA 90040 | 2006-07-13 |
| Find all providers in COMMERCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.