Charles Mark Russell is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Charles Mark Russell practices in San Antonio, TX and has the professional credentials of PA. The NPI Number for Charles Mark Russell is 1043218720 and holds a License No. PA00353 (Texas).
The current practice location address for Charles Mark Russell is 6157 Nw Loop 410, San Antonio, TX and can be reached out via phone at 210-523-1411 and via fax at 210-523-9307. You can also correspond with Charles Mark Russell through the mailing address at 6157 NW LOOP 410, SAN ANTONIO, TX - 78238-3302 (mailing address contact number: 210-523-1411).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312676501 | 01 | TX | WELLMED MEDICAID |
| TXB153718 | 01 | TX | WELLMED MEDICARE |
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