CHARLES MARK RUSSELL PA
NPI 1043218720
Physician Assistant - Medical in San Antonio, TX

Active since July 07, 2005
6157 NW LOOP 410, STE. 124, SAN ANTONIO, TX 78238(210) 523-1411(210) 523-9307 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1043218720
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHARLES MARK RUSSELLCredential: PA
Location Address6157 NW LOOP 410, STE. 124San Antonio, TX 78238-3302
Mailing Address6157 Nw Loop 410, Ste. 124San Antonio, TX 78238-3302 · (210) 523-1411 · Fax (210) 523-9307
Fax(210) 523-9307
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 18, 2016
NPI 1043218720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA00353
6157 NW LOOP 410, San Antonio, TX 78238

Other Identifiers 2

Other312676501TX · Wellmed Medicaid
OtherTXB153718TX · Wellmed Medicare

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.

Physician Assistant (Medical)
6157 NW LOOP 410, STE. 124
SAN ANTONIO, TX 78238
Nurse Practitioner
6157 NW LOOP 410, STE. 124
SAN ANTONIO, TX 78238
Family Medicine
6157 NW LOOP 410, STE 124
SAN ANTONIO, TX 78238
Family Medicine
6157 NW LOOP 410, STE. 124
SAN ANTONIO, TX 78238
Physician Assistant
6157 NW LOOP 410, STE. 124
SAN ANTONIO, TX 78238
Family Medicine
6157 NW LOOP 410, STE. 124
SAN ANTONIO, TX 78238
Internal Medicine
6157 NW LOOP 410, STE. 124
SAN ANTONIO, TX 78238
Family Medicine
6157 NW LOOP 410
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.