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Dr. Russell Forest Stanley, DO
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Tyler, Texas
NPI 1356797740

Russell Forest Stanley is a Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician based in Dallas, TX and is specialized in Female Pelvic Medicine and Reconstructive Surgery. Russell Forest Stanley practices in Tyler, TX and has the professional credentials of DO. The NPI Number for Russell Forest Stanley is 1356797740 and holds a License No. S0996 (Texas).

The current practice location address for Russell Forest Stanley is 1100 E Lake St Ste 260, Tyler, TX and can be reached out via phone at 903-590-5700 and via fax at 903-590-5735.

Location: 1100 E Lake St Ste 260, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356797740
Provider Name
Russell Forest Stanley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1100 E Lake St Ste 260, Tyler, TX, 75284-6098
Phone Number
903-590-5700
Fax Number
903-590-5735
Provider Enumeration Date
05/04/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1100 E Lake St Ste 260
City
Tyler
State
Texas
Zip
75701-3359
Phone Number
903-590-5700
Fax Number
903-590-5735
person
Provider Business Mailing Address Details
Address
1100 E Lake St Ste 260
City
Tyler
State
Texas
Zip
75701-3359
Phone Number
903-590-5700
Fax Number
903-590-5735
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
2123 (Alabama)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
DO.2123 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S0996 (Texas)
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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