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TIFFANY LEE RUSSELL DO
NPI 1811525595
Military Health Care Provider in Dyess Afb, TX

Active since March 30, 2020
697 LOUISIANA RD, DYESS AFB, TX 79607(325) 696-6600 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2021, Mar 30, 2020 (2 updates tracked since 2020).

About Tiffany Lee Russell Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY LEE RUSSELL DO (NPI 1811525595) is an individual military health care provider provider in Dyess Afb, Texas, licensed in Texas (T2968) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1811525595
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameTIFFANY LEE RUSSELLCredential: DO
Location Address697 LOUISIANA RDDyess Afb, TX 79607-1141
Mailing Address697 Louisiana RdDyess Afb, TX 79607-1141 · (325) 696-6600
Phone(325) 696-6600
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1811525595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in TX · T2968
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
697 LOUISIANA RD, Dyess Afb, TX 79607
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Other Names 1

Former Name (1)Tiffany Lee Reid Do

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOFIA FITZGERALD IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
697 LOUISIANA RD
DYESS AFB, TX 79607
Taylor County (229) 848-5222
ABIGAIL ANN ROSE
Social Worker (Clinical)
697 LOUISIANA RD
DYESS AFB, TX 79607
Taylor County (256) 968-3433
DR. MARK ADAM SUMMERS MD
Preventive Medicine (Aerospace Medicine)
697 LOUISIANA RD, 7TH MDG
DYESS AFB, TX 79607
Taylor County (325) 696-5490
VIZION DANETTE JACKSON LCSW
Social Worker (Clinical)
697 LOUISIANA RD
ABILENE, TX 79607
Taylor County (325) 696-8378
MRS. KRISTINE ALYCE GLACKMEYER FNP
Nurse Practitioner (Family)
697 LOUISIANA RD
DYESS AFB, TX 79607
Taylor County (325) 696-1237
DR. CHRISTOPHER COLVIN DO
Family Medicine (Sports Medicine)
697 LOUISIANA RD
DYESS AFB, TX 79607
Taylor County (325) 696-4712
MISS YOUNG R OH PHARM.D.
Pharmacist (Pharmacotherapy)
697 LOUISIANA RD, 7 MDSS/SGSD DYESS AFB
ABILENE, TX 79607
Taylor County (325) 696-4677
MR. JAMES T.S. O'NEAL II PA-C
Physician Assistant
697 LOUISIANA RD
DYESS AFB, TX 79607
Taylor County (210) 563-1535

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 Tiffany Russell's NPI number?

The NPI number for Tiffany Russell is 1811525595. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Tiffany Lee Reid Do.

Where is Tiffany Russell located?

Tiffany Russell practices at 697 Louisiana Rd, Dyess Afb, TX 79607. The listed phone number is (325) 696-6600.

What is Tiffany Russell's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Tiffany Russell was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.