Individual provider · Type 1 NPI

Mark Brennan Russo, PT, DPT

Home Health Agency · Lewisville, TX

NPI number 1669784419 Active

Practice location

751 Hebron Pkwy Ste 160
Lewisville, TX 75057-5120

Mailing address

PO Box 250264
Plano, TX 75025-0264

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X1178901 (TX)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1669784419

Mark Brennan Russo, PT, DPT's National Provider Identifier is 1669784419, issued on Jul 9, 2010. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Lewisville, TX. The record was last updated on Apr 9, 2015.