Individual
CHRISTAN DEPAUL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17202 KOBUK VALLEY CIR, HUMBLE, TX 77346-2951
(832) 757-6332
Mailing address
17202 KOBUK VALLEY CIR, HUMBLE, TX 77346-2951
(832) 757-6332
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
K9120
TX
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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