Joseph Thomas Russell, DO | |
504 Lipscomb St, Bonham, TX 75418-4028 | |
(903) 583-8585 | |
Not Available |
Full Name | Joseph Thomas Russell |
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Gender | Male |
Speciality | Family Medicine |
Location | 504 Lipscomb St, Bonham, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053811273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6746 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | S3449 (Texas) | Primary |
Entity Name | Nes Oklahoma, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516 |
Mailing Address | Practice Location Address |
---|---|
Joseph Thomas Russell, DO 504 Lipscomb St, Bonham, TX 75418-4028 Ph: (903) 583-8585 | Joseph Thomas Russell, DO 504 Lipscomb St, Bonham, TX 75418-4028 Ph: (903) 583-8585 |
Dana L Sisk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 N State Highway 121, Bonham, TX 75418 Phone: 903-583-3111 Fax: 903-583-1444 | |
Patrick Stephen Tan Felicitas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 N State Highway 121, Bonham, TX 75418 Phone: 903-583-3111 Fax: 903-583-1444 | |
Dr. James E Froelich Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 N Center St, Bonham, TX 75418 Phone: 903-583-3191 Fax: 903-583-3973 | |
Eric Jeffrey Williams, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 N Center St, Bonham, TX 75418 Phone: 903-583-6155 Fax: 903-583-3158 |