Dr. Michael Anthony Russo
MD | Pediatric Gastroenterology | Male
Dr. Michael Anthony Russo, MD is a Plano, Texas based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Michael Anthony Russo is
7000 W Plano Pkwy Ste 110, Plano, Texas - 75093-8467. He can be contacted on phone at
972-306-3767 and fax number 972-566-8839.
Dr. Michael Anthony Russo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Anthony Russo is
1043272958 which was assigned by NPPES on 05 Apr, 2006 and it was last updated on 21 Sep, 2020.
Dr. Michael Anthony Russo license number is
L2616 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Texas.
Dr. Michael Anthony Russo specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Michael Anthony Russo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Dr. Michael Anthony Russo |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Michael Anthony Russo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7000 W Plano Pkwy Ste 110
Plano, TX, 75093-8467
United States |
|---|
| Phone Number : | 972-306-3767 |
|---|
| Fax Number : | 972-566-8839 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043272958 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 05 Apr, 2006 |
|---|
| Last Updated On : | 21 Sep, 2020 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Anthony Russo are as mentioned. Primary taxonomy code for Dr. Michael Anthony Russo, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | L2616 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael Anthony Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8DD556 | Other | TX | BCBSTX |
| 166239701 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7610 N Stemmons Fwy Ste 600
Dallas, TX, 75247-4228
United States |
|---|
| Phone Number : | 214-689-5960 |
|---|
| Fax Number : | 469-713-8084 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Michael Anthony Russo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.