Individual provider · Type 1 NPI
Timmie Emil Russell Ii
Student in an Organized Health Care Education/Training Program · Porter, TX
NPI number
1306540810
Active
Practice location
21606 Tea Tree Olive Pl
Porter, TX 77365-6572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Porter
About NPI 1306540810
Timmie Emil Russell Ii's National Provider Identifier is 1306540810, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Porter, TX. The record was last updated on May 9, 2023.