Individual provider · Type 1 NPI

Russell J. Tanner, P.A.-C

Medical Physician Assistant · Bridgeport, TX

NPI number 1871544486 Active

About NPI 1871544486

Russell J. Tanner, P.A.-C's National Provider Identifier is 1871544486, issued on May 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, TX. The record was last updated on Jul 13, 2026.