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Individual
MR. PAUL ROBERT RUSSO
Active
Individual
MR. PAUL ROBERT RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1112141
TX
363L00000X
Nurse Practitioner
NP10524
CA
Other
Enumeration date
06/13/2006
Last updated
02/23/2026
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