Toll, Russell Tennyson

Toll, Russell Tennyson is an individual health care provider with primary practice located at 771 E Southlake Blvd Ste 222 , Southlake TX 76092-7065. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / EEG, Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering, Speech, Language and Hearing Service Providers / Specialist/Technologist. Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering is his primary health care specialty. Toll, Russell Tennyson can be contacted via phone (817) 888-6974.

Contact Information

Primary practice address
771 E Southlake Blvd Ste 222 Southlake TX 76092-7065
Phone: (817) 888-6974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / EEG 246ZE0500X
Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering 246ZB0301X
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X

Profile Details

NPI number 1356053565
LBN Legal business name Toll, Russell Tennyson
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2022
Last updated Dec 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.

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