| Porche Russell, APRN | |
|
159 Belle Riva Dr, Hallsville, TX 75650-6133 | |
| (903) 930-1034 | |
| Not Available |
| Full Name | Porche Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 159 Belle Riva Dr, Hallsville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760192462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1099955 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Porche Russell, APRN 159 Belle Riva Dr, Hallsville, TX 75650-6133 Ph: (903) 930-1034 | Porche Russell, APRN 159 Belle Riva Dr, Hallsville, TX 75650-6133 Ph: (903) 930-1034 |
Stephanie Lynne Hunt, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 302 S Central St, Hallsville, TX 75650 Phone: 903-668-3400 | |
Elizabeth Brooke Main, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 W Main St, Hallsville, TX 75650 Phone: 903-374-5465 | |
Kaycee Whatley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 302 S Central St Ste C8, Hallsville, TX 75650 Phone: 903-702-2977 Fax: 903-309-1037 |