Organization
RUSSELL ASSISTING
Active
Other names
Timi Russell
Organization subpart
No
Provider details
NPI number
Authorized official
TIMI RENEE RUSSELL CSFA (OWNER)
(713) 705-7953
Entity
Organization
Contact information
Practice address
2430 FAWNLAKE CIR, KATY, TX 77493
(713) 705-7953
Mailing address
2430 FAWNLAKE CIR, KATY, TX 77493
(713) 705-7953
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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