Individual
JOHN ROBERT RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SPL-A
Contact information
Practice address
597 W SESAME DR STE C, HARLINGEN, TX 78550-8367
(956) 361-5800
Mailing address
597 W SESAME DR STE C, HARLINGEN, TX 78550-8367
(956) 361-5800
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36547
TX
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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