Individual provider · Type 1 NPI
Denisa Kavikova Russell, P.A.
Medical Physician Assistant · Prosper, TX
NPI number
1750628798
Active
Practice location
821 N Coleman St Ste 100
Prosper, TX 75078-2304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA08261 (TX) |
| Medical Physician Assistant Primary | 363AM0700X | PA08261 (TX) |
Medical Physician Assistant: Definition to come...
About NPI 1750628798
Denisa Kavikova Russell, P.A.'s National Provider Identifier is 1750628798, issued on Jan 10, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Prosper, TX. The record was last updated on Jul 8, 2025.