person
Rachel Russo, MD
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1619171881

Rachel Russo is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Rachel Russo practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Rachel Russo is 1619171881 and holds a License No. (Texas).

The current practice location address for Rachel Russo is 5201 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-590-8058.

Location: 5201 Harry Hines Blvd, Dallas, TX, 75235-7708
person
Provider Profile Details
NPI Number
1619171881
Provider Name
Rachel Russo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5201 Harry Hines Blvd, Dallas, TX, 75235-7708
Phone Number
214-590-8058
Fax Number
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BP1-0026071 01 INSTITUTIONAL PERMIT
institution
Provider Business Practice Location Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8058
Fax Number
person
Provider Business Mailing Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8058
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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