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Organization
RUSSELL N. MCDONALD
Active
Organization
RUSSELL N. MCDONALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBREY D SPICER (PRACTICE MANAGER)
(409) 962-8509
Entity
Organization
Contact information
Practice address
6000 39TH ST, GROVES, TX 77619-4600
(409) 962-8509
(409) 962-0763
Mailing address
6000 39TH ST, GROVES, TX 77619-4600
(409) 962-8509
(409) 962-0763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E8705
TX
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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