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RUSSELL S DICKERSON MD NPI 1740367838


NPI Information

NPI: 1740367838
Provider Name: RUSSELL S DICKERSON MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1101 N 19TH STREET
SUITE NO 114
ABILENE, TX
ZIP 79601
Phone: (325) 670-5320
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RUSSELL S DICKERSON MD is a neurology psychiatry neurology in Abilene, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. RUSSELL S DICKERSON MD NPI is 1740367838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1101 N 19TH STREET
SUITE NO 114
ABILENE, TX
ZIP 79601
Phone: (325) 670-5320
Fax: (325) 670-5329

The provider's authorized official is Russell Dickerson .
The authorized official title is Md and has the following contact phone number (325) 670-5320.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyJ1517TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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