Search › Texas › 207Q00000X
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 RusseyInferred 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