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Cierra Russ, PA-C
Surgical Physician Assistant in Fort Worth, Texas
NPI 1639838105

Cierra Russ is a Surgical Physician Assistant based in Fort Worth, TX and is specialized in Surgical. Cierra Russ practices in Fort Worth, TX and has the professional credentials of PA-C. The NPI Number for Cierra Russ is 1639838105 and holds a License No. PA15349 (Texas).

The current practice location address for Cierra Russ is 800 5Th Ave Ste 300, Fort Worth, TX and can be reached out via phone at 817-250-5690.

Location: 800 5Th Ave Ste 300, Fort Worth, TX, 76104-7303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639838105
Provider Name
Cierra Russ
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
800 5Th Ave Ste 300, Fort Worth, TX, 76104-7303
Phone Number
817-250-5690
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 5Th Ave Ste 300
City
Fort Worth
State
Texas
Zip
76104-7303
Phone Number
817-250-5690
Fax Number
person
Provider Business Mailing Address Details
Address
800 5Th Ave Ste 300
City
Fort Worth
State
Texas
Zip
76104-7303
Phone Number
817-250-5690
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA15349 (Texas)
Definition
Definition to come...
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