Individual provider · Type 1 NPI
Anthony Russo
General Practice Physician · Pflugerville, TX
NPI number
1700860400
Active
Practice location
821 Grand Avenue Pkwy Ste 200
Pflugerville, TX 78660-2197
Fax (512) 549-6260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G0039 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1700860400
Anthony Russo's National Provider Identifier is 1700860400, issued on Dec 6, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pflugerville, TX. The record was last updated on Jul 30, 2025.