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Peggy M Russell, DO
Geriatric Medicine (Internal Medicine) Physician in Austin, Texas
NPI 1679598718

Peggy M Russell is a Geriatric Medicine (Internal Medicine) Physician based in Austin, TX and is specialized in Geriatric Medicine. Peggy M Russell practices in Austin, TX and has the professional credentials of DO. The NPI Number for Peggy M Russell is 1679598718 and holds a License No. F4461 (Texas).

The current practice location address for Peggy M Russell is 1108 Lavaca St, Austin, TX and can be reached out via phone at 512-477-4088.

Location: 1108 Lavaca St, Austin, TX, 78701-2172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679598718
Provider Name
Peggy M Russell
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1108 Lavaca St, Austin, TX, 78701-2172
Phone Number
512-477-4088
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
097796902 05 TX
110180474 01 TX MEDICARE RAILROAD
82020J 01 TX BCBS TEXAS
institution
Provider Business Practice Location Address Details
Address
1108 Lavaca St
City
Austin
State
Texas
Zip
78701-2172
Phone Number
512-477-4088
Fax Number
person
Provider Business Mailing Address Details
Address
1108 Lavaca St
City
Austin
State
Texas
Zip
78701-2172
Phone Number
512-477-4088
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
F4461 (Texas)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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