CHARLES MARK RUSSELL PA
NPI 1043218720
Physician Assistant - Medical in San Antonio, TX
About Charles Mark Russell Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES MARK RUSSELL PA (NPI 1043218720) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA00353) and active in the NPI registry since July 2005.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78238
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Russell's NPI number?
The NPI number for Charles Russell is 1043218720. It was assigned to this individual provider in the NPPES registry on July 7, 2005.
Where is Charles Russell located?
Charles Russell practices at 6157 NW Loop 410 Ste. 124, San Antonio, TX 78238. The listed phone number is (210) 523-1411.
What is Charles Russell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Charles Russell was last updated on October 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.