Randy Pat Russell, AUD is a
Audiologist based in Marshall, Texas. Randy Pat Russell is licensed to practice in Texas (license number 50379) and his current practice location is
1005 E Grand Ave, Marshall, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 927-1111.
NPI number for Randy Pat Russell is 1245315571 and his current mailing address is 1005 E Grand Ave, Marshall, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245315571.
Healthcare Provider's Profile
| Full Name | Randy Pat Russell |
|---|
| Gender | Male |
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| Speciality | Audiologist |
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| Location | 1005 E Grand Ave, Marshall, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245315571
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 03/06/2024
Medical Identifiers
Medical identifiers for Randy Pat Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245315571 | NPI | - | NPPES |
| 80200A | Other | TX | BC/BS PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 50379 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randy Pat Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Randy Pat Russell, AUD
1005 E Grand Ave,
Marshall, TX 75670-3558
Ph: (903) 927-1111 | Randy Pat Russell, AUD
1005 E Grand Ave,
Marshall, TX 75670-3558
Ph: (903) 927-1111 |
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