IndividualActive
Russell Stanley, D.O.
NPI 1356797740 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Tyler, TX
Provider details
- NPI number
- 1356797740
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- S0996 (TX)
Practice location
1100 E Lake St Ste 260
Tyler, TX 75701-3359
Phone: (903) 590-5700
Fax: (903) 590-5735
Mailing address
Po Box 846098
Dallas, TX 75284-6098
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.