Individual provider · Type 1 NPI

Russell Thomas, PA-C

Surgical Physician Assistant · Houston, TX

NPI number 1659629376 Active

Practice location

950 Corbindale Rd Ste 300
Houston, TX 77024-2849

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA08068 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1659629376

Russell Thomas, PA-C's National Provider Identifier is 1659629376, issued on Aug 28, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Aug 2, 2023.