Individual provider · Type 1 NPI
Russell Forest Stanley, DO
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Tyler, TX
Practice location
1100 S. Beckham, Ste. 2200
Tyler, TX 75701
Fax (903) 593-8811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary | 207VF0040X | S0996 (TX) |
| Obstetrics & Gynecology Physician | 207V00000X | S0996 (TX) |
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…
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About NPI 1356797740
Russell Forest Stanley, DO's National Provider Identifier is 1356797740, issued on May 4, 2016. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Tyler, TX. The record was last updated on Sep 23, 2026.