Organization
PENNI RUSSO-GOING, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNI M RUSSO MD (OWNER)
(713) 594-3671
Entity
Organization
Contact information
Practice address
1635 NORTH LOOP W, ATTN: PENNI RUSSO-GOING, MD, HOUSTON, TX 77008-1532
(713) 594-3671
(713) 468-2297
Mailing address
12131 TARA DR, HOUSTON, TX 77024-4205
(713) 594-3671
(713) 468-2297
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/11/2011
Last updated
06/02/2011
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