CHARLES B RUSSEY is a family medicine in Southlake, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES B RUSSEY NPI is 1477651826. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Acute Care And Family Medicine.
The provider's business location address is:
480 W SOUTHLAKE BLVD
SUITE 115
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 416-2221
Fax: (817) 424-5400
The provider's authorized official is Heather Renee Hardin .
The authorized official title is Office Manager and has the following contact phone number (814) 162-2221.
The CLIA number assigned to this NPI record is 45D1007246 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.