Russwurm, Harvey D

Russwurm, Harvey D is an individual health care provider with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russwurm, Harvey D can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
120 E Beauregard Ave San Angelo TX 76903-5919
Phone: (325) 658-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L6611 Texas

Profile Details

NPI number 1083604706
LBN Legal business name Russwurm, Harvey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083604706 NPPES
Texas MEDICAID 158038301

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