Russell, Myrna
Russell, Myrna is an sole proprietor health care provider with primary practice located at 855 Central Dr Suite 15, Odessa TX 79761-4200. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Russell, Myrna can be contacted via phone (432) 557-5759.Contact Information
Primary practice address
855 Central Dr Suite 15
Odessa TX 79761-4200
Phone: (432) 557-5759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10868 | Texas |
Profile Details
| NPI number | 1669748000 |
|---|---|
| LBN Legal business name | Russell, Myrna |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2012 |
| Last updated | Mar 30th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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