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Charles Russey, MD

NPI 1437141041 · on the registry since 2005

Practice

Address
480 W Southlake Blvd
Ste 115
Southlake, TX 76092
Phone
(817) 416-2221
Fax
(817) 424-5400
Organisation at this address
Athletico Ltd
Charles B Russey
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas