Organization · Type 2 NPI

Jonathan R Russell, M.d., P.a.

Specialist · Houston, TX

NPI number 1881826378 Active

Practice location

10130 Louetta Rd, Ste G
Houston, TX 77070-2118

Call (281) 440-4089 Map

Fax (832) 559-3718

Mailing address

503 Columbia St
Houston, TX 77007-2625

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XL0557 (TX)

Specialist: 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.

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About NPI 1881826378

Jonathan R Russell, M.d., P.a.'s National Provider Identifier is 1881826378, issued on Aug 17, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Houston, TX. The record was last updated on Nov 16, 2011.