CHARLES B RUSSEY

SOUTHLAKE, TX
NPI1477651826
Doing Business AsACUTE CARE AND FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactHEATHER RENEE HARDIN
Office Manager
814-162-2221
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  K2373)
Enumeration Date2006-09-20
Last Update Date2020-08-22
Business Address
CHARLES B RUSSEY
480 W SOUTHLAKE BLVD SUITE 115
SOUTHLAKE, TX 76092
Phone number: 817-416-2221
Mailing Address
CHARLES B RUSSEY
480 W SOUTHLAKE BLVD SUITE 115
SOUTHLAKE, TX 76092
Phone number: 817-416-2221