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NPI Code Detail

MEDICARE: RUSSELL BELL DO

MEDICARE: RUSSELL BELL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK2184TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1752616977028OTHERTXTRICARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48S6414OTHERTXBCBS OF TEXAS

General Provider Information

NPI Number : 1568465755
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL BELL DO
Provider Business Mailing Address
First Line : PO BOX 846098
Second Line :
City : DALLAS
State : TX
Zip : 75284-6098
Country : US
Telephone Number : 903-324-6450
Fax Number :
Provider Business Practice Location Address
First Line : 3203 S MAIN ST
Second Line :
City : LINDALE
State : TX
Zip : 75771-7727
Country : US
Telephone Number : 903-882-0991
Fax Number : 903-882-7751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 10/10/2014

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Directions to “ RUSSELL BELL DO” Practice Location

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