Skinner, Russell B
Skinner, Russell B is an sole proprietor health care provider with primary practice located at 5148 Village Creek Dr Ste 300, Plano TX 75093-5064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Skinner, Russell B can be contacted via phone (469) 661-1100.Contact Information
Primary practice address
5148 Village Creek Dr Ste 300
Plano TX 75093-5064
Phone: (469) 661-1100
Fax: (469) 661-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K5697 | Texas |
Profile Details
| NPI number | 1881698538 |
|---|---|
| LBN Legal business name | Skinner, Russell B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Apr 22nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881698538 | NPPES |
| Texas | MEDICAID | 130931208 | |
| Texas | Other | 110216569 | |
| Texas | Other | 8A3122 | |
| Texas | Other | K5697 | |
| Texas | Other | 8X8470 | |
| Texas | MEDICAID | 130931201 |
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