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Dr. Mark Brennan Russo, PT,DPT
Home Health Agency in Lewisville, Texas
NPI 1669784419

Mark Brennan Russo is a Home Health Agency based in Plano, TX. Mark Brennan Russo practices in Lewisville, TX and has the professional credentials of PT,DPT. The NPI Number for Mark Brennan Russo is 1669784419 and holds a License No. 1178901 (Texas).

The current practice location address for Mark Brennan Russo is 751 Hebron Pkwy Ste 160, Lewisville, TX and can be reached out via phone at 972-315-1234.

Location: 751 Hebron Pkwy Ste 160, Lewisville, TX, 75025-0264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669784419
Provider Name
Mark Brennan Russo
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Male
Address
751 Hebron Pkwy Ste 160, Lewisville, TX, 75025-0264
Phone Number
972-315-1234
Fax Number
Provider Enumeration Date
07/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
751 Hebron Pkwy Ste 160
City
Lewisville
State
Texas
Zip
75057-5120
Phone Number
972-315-1234
Fax Number
person
Provider Business Mailing Address Details
Address
751 Hebron Pkwy Ste 160
City
Lewisville
State
Texas
Zip
75057-5120
Phone Number
972-315-1234
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1178901 (Texas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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