Individual provider · Type 1 NPI
Russell Alan Smith, CNIM, REPT
Electroneurodiagnostic Specialist/Technologist · Richardson, TX
NPI number
1346594439
Active
Practice location
1819 Jay Ell Dr # 1
Richardson, TX 75081-1837
Fax (888) 694-2947
Mailing address
1819 Jay Ell Dr
Richardson, TX 75081-1837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1151 (TX) |
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 2557 (TX) |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1346594439
Russell Alan Smith, CNIM, REPT's National Provider Identifier is 1346594439, issued on Oct 29, 2012. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Richardson, TX. The record was last updated on Sep 4, 2019.