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Mr. Russell Carl Wilson, PA-C,ATC
Physician Assistant in Allen, Texas
NPI 1780675967

Russell Carl Wilson is a Physician Assistant based in Allen, TX. Russell Carl Wilson practices in Allen, TX and has the professional credentials of PA-C,ATC. The NPI Number for Russell Carl Wilson is 1780675967 and holds a License No. 45448 (Texas).

The current practice location address for Russell Carl Wilson is 1125 Raintree Cir Ste 100, Allen, TX and can be reached out via phone at 972-727-9995 and via fax at 972-727-8350.

Location: 1125 Raintree Cir Ste 100, Allen, TX, 75013-5289
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Provider Profile Details
NPI Number
1780675967
Provider Name
Russell Carl Wilson
Credential
PA-C,ATC
Provider Entity Type
Individual
Gender
Male
Address
1125 Raintree Cir Ste 100, Allen, TX, 75013-5289
Phone Number
972-727-9995
Fax Number
972-727-8350
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
360930704 05 TX
8029NH 01 TX BCBSTX
institution
Provider Business Practice Location Address Details
Address
1125 Raintree Cir Ste 100
City
State
Zip
75013-5289
Phone Number
972-727-9995
Fax Number
972-727-8350
person
Provider Business Mailing Address Details
Address
1125 Raintree Cir Ste 100
City
State
Zip
75013-5289
Phone Number
972-727-9995
Fax Number
972-727-8350
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Paramedic
Speciality
-
Taxonomy
License No.
PA.0005767 (Colorado)
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
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Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
Athletic Trainer
Taxonomy
License No.
020202111 (Nebraska)
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
45448 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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