CHARLES BYROM RUSSEY

SOUTHLAKE, TX
NPI1437141041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  K2373)
Enumeration Date2005-08-19
Last Update Date2007-07-08
Business Address
Mr. CHARLES BYROM RUSSEY MD
480 W SOUTHLAKE BLVD STE 115
SOUTHLAKE, TX 76092-6162
Phone number: 817-416-2221
Mailing Address
Mr. CHARLES BYROM RUSSEY MD
480 W SOUTHLAKE BLVD STE 115
SOUTHLAKE, TX 76092-6162
Phone number: 817-416-2221
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