1043218720 Charles Mark Russell, PA
Medical Physician Assistant
Active
Basic Information
- Full Name
- Charles Mark Russell, PA
- Gender
- Male
- Enumeration Date
- July 7, 2005
- Last Update
- October 18, 2016
Practice Location
- Address
- 6157 NW LOOP 410
STE. 124
SAN ANTONIO, TX 782383302 - Phone
- (210) 523-1411
- Fax
- (210) 523-9307
Mailing Address
- Address
- 6157 NW LOOP 410
STE. 124
SAN ANTONIO, TX 782383302 - Phone
- (210) 523-1411
- Fax
- (210) 523-9307
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Medical Physician Assistant Medical | 363AM0700X | Physician Assistant | PA00353 | TX | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312676501 | 01 | TX | WELLMED MEDICAID |
| TXB153718 | 01 | TX | WELLMED MEDICARE |
Frequently Asked Questions
What is Charles Mark Russell, PA's NPI number?
Charles Mark Russell, PA's NPI number is 1043218720.
Which doctor has NPI number 1043218720?
The doctor with NPI number 1043218720 is Charles Mark Russell, PA.
What is Charles Mark Russell, PA's practice address?
Charles Mark Russell, PA's practice address is 6157 NW LOOP 410, STE. 124, SAN ANTONIO, TX, 782383302.
Which doctor practices at 6157 NW LOOP 410, STE. 124, SAN ANTONIO, TX, 782383302?
Charles Mark Russell, PA practices at 6157 NW LOOP 410, STE. 124, SAN ANTONIO, TX, 782383302.
What is Charles Mark Russell, PA's phone number?
Charles Mark Russell, PA's phone number is (210) 523-1411.
Who is (210) 523-1411?
(210) 523-1411 is the phone number for Charles Mark Russell, PA.
What is Charles Mark Russell, PA's specialty?
Charles Mark Russell, PA's specialty is Medical Physician Assistant.
What type of doctor is Charles Mark Russell, PA?
Charles Mark Russell, PA is a Medical Physician Assistant.
Is Charles Mark Russell, PA a Medical?
Yes, Charles Mark Russell, PA is a Medical.
Is Charles Mark Russell, PA still practicing?
Yes, Charles Mark Russell, PA is currently practicing.
Is Charles Mark Russell, PA accepting new patients?
Charles Mark Russell, PA may be accepting new patients. Please call their office at (210) 523-1411 to inquire about availability.
Is NPI 1043218720 still active?
Yes, NPI 1043218720 is currently active.
Where does Charles Mark Russell, PA practice?
Charles Mark Russell, PA practices in SAN ANTONIO, TX.
Is Charles Mark Russell, PA a male or female doctor?
Charles Mark Russell, PA is a male doctor.