Stephen T Russell


Address: 1849 Lamar Ave, Suite 120, Paris, TX 75460-1463
Phone: 9037154480

Stephen T Russell (NPI# 1093059974, PAC ID# 9830499060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1093059974
PAC ID by PECOS 9830499060
Professional Enrollment ID I20151119002333
Full Name Stephen T Russell
Address 1849 Lamar Ave
Suite 120
Paris
TX 75460-1463
Phone Number 9037154480
Gender M
Graduation Year 2012
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1849 Lamar Ave, Suite 120, Paris, TX 75460-1463 9037154480
2654 Lamar Ave, Paris, TX 75460-4847 9037831282

Organization Information

Office Location

Street Address 1849 LAMAR AVE
SUITE 120
City PARIS
State TX
Zip 75460-1463

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Samad A Jabbar Nephrology Kidney Disease and Dialysis Associates, Pa 870 Ne Loop, Suite 286, Paris, TX 75460-2134
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Competitor

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City PARIS
Zip Code 75460
Specialty CLINICAL SOCIAL WORKER
City + Specialty PARIS + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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