Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | M6490 | TX |
Y | 207ND0101X | MOHS-Micrographic Surgeon | M6490 | TX |
N | 207NS0135X | Procedural Dermatology | M6490 | TX |
NPI | 1346432440 |
---|---|
Provider Name | Dr. Russell Scott Akin |
First Address | Midland, TX 79707-5124 |
Second Address | Midland, TX 79707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 31/10/2019 |