Individual provider · Type 1 NPI

Michael Edward Russell Ii, MD

Orthopaedic Surgery of the Spine Physician · Tyler, TX

NPI number 1720076052 Active

Practice location

3414 Golden Rd
Tyler, TX 75701-8336

Fax (903) 939-7728

Mailing address

PO Box 130189
Tyler, TX 75713-0189

Other practice locations

  • 305 W 20th St, Mount Pleasant, TX 75455-2327 · (903) 939-7500
  • 3816 N University Dr, Nacogdoches, TX 75965-2011 · (903) 939-7500

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XJ2290 (TX)
Orthopaedic Surgery of the Spine Physician Primary 207XS0117XJ2290 (TX)

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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About NPI 1720076052

Michael Edward Russell Ii, MD's National Provider Identifier is 1720076052, issued on Oct 11, 2005. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Tyler, TX. The record was last updated on Apr 22, 2025.