P Praxis·MD
● Active Type 1 · Individual

Russ Todd Nelson, LPT

Specialist·Texarkana, TX· NPI 1407841695 · Enumerated 2005 · 20 years on NPI
Nelson is 1 of 27 specialist providers in Texarkana and 1 of 4038 in Texas.
NPI age
20 years
Enumerated 2005-09-14
Primary specialty
Specialist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 4038 active specialist providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
4303 Texas Blvd, Ste 8
Texarkana, TX 755033097
📞 9037931797fax 9037932105
Mailing address
4303 Texas Blvd, Ste 8
Texarkana, TX 755033097
📞 9037931797fax 9037932105

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    TX license #1090942 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (TX) 1090942 TX LICENSE
01 (AR) 99451 AR BCBS NUMBER
01 (TX) 86940T BCBS ID NUMBER

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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