Individual
MRS. ALYSSA R RUSSOMANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 CULEBRA RD, SAN ANTONIO, TX 78228-5914
(210) 314-6473
(210) 314-8676
Mailing address
3615 CULEBRA RD, SAN ANTONIO, TX 78228-5914
(210) 314-6473
(210) 314-8676
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
51399-0325
TX
175T00000X
Peer Specialist
Primary
51444-0325
TX
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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