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1245336544
RUSSELL WARREN BACH
AUSTIN, TX
NPI
1245336544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: TX H7043)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
DR. RUSSELL WARREN BACH M.D.
1643 E 2ND ST BLDG C
AUSTIN, TX 78702-4411
Phone number: 512-451-0315
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Mailing Address
DR. RUSSELL WARREN BACH M.D.
PO BOX 3548
AUSTIN, TX 78764-3548
Phone number: 512-445-7787
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