Individual provider · Type 1 NPI

Russell Lowell Vittrup Iii, PA-C

Physician Assistant · Dallas, TX

NPI number 1831017656 Active

Practice location

6201 Harry Hines Blvd
Dallas, TX 75235-5202

Call (214) 633-4700 Map

Mailing address

1412 Blue Sage St
Melissa, TX 75454-1415

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831017656

Russell Lowell Vittrup Iii, PA-C's National Provider Identifier is 1831017656, issued on Jul 8, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2026.