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1023336039
MICHAEL ADAM RUSSELL
AUSTIN, TX
NPI
1023336039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10036622)
Enumeration Date
2010-05-14
Last Update Date
2019-07-05
Business Address
Dr. MICHAEL ADAM RUSSELL D.O.
8517 FM 1826 BLDG 2
AUSTIN, TX 78737-1473
Phone number: 512-416-0044
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Mailing Address
Dr. MICHAEL ADAM RUSSELL D.O.
8517 FM 1826 BLDG 2
AUSTIN, TX 78737-1473
Phone number: 512-416-0044
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