Individual provider · Type 1 NPI

Kimberly Tanis Russell, MD

Family Medicine Physician · Fort Cavazos, TX

NPI number 1720130305 Active

Practice location

36065 Sante Fe Ave
Fort Cavazos, TX 76544-5044

Mailing address

36000 Darnall Loop
Fort Hood, TX 76544-5095

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XN0422 (TX)
Family Medicine Physician 207Q00000XMD069021L (PA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1720130305

Kimberly Tanis Russell, MD's National Provider Identifier is 1720130305, issued on Jan 17, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Cavazos, TX. The record was last updated on Jul 13, 2026.