person
Keannette Larrelle Perkins Russell, MD
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1003668542

Keannette Larrelle Perkins Russell is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Keannette Larrelle Perkins Russell practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Keannette Larrelle Perkins Russell is 1003668542 and holds a License No. (Texas).

The current practice location address for Keannette Larrelle Perkins Russell is 5323 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-648-3433.

Location: 5323 Harry Hines Blvd, Dallas, TX, 75390-7201
person
Provider Profile Details
NPI Number
1003668542
Provider Name
Keannette Larrelle Perkins Russell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5323 Harry Hines Blvd, Dallas, TX, 75390-7201
Phone Number
214-648-3433
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-7201
Phone Number
214-648-3433
Fax Number
person
Provider Business Mailing Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-7201
Phone Number
214-648-3433
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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