Individual
RUSSELL JOSEPH JUNO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 VON MINDEN RD, LA GRANGE, TX 78945-2419
(979) 968-2700
(979) 968-2733
Mailing address
1720 VON MINDEN RD, LA GRANGE, TX 78945-2419
(979) 968-2700
(979) 968-2733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3443
TX
Other
Enumeration date
06/16/2006
Last updated
02/25/2011
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