Individual
DR. HOWARD W RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8120 MAIN ST, STE. 302, HOUMA, LA 70360-3403
(985) 223-0682
(985) 223-0686
Mailing address
8120 MAIN ST, STE. 302, HOUMA, LA 70360-3403
(985) 223-0682
(985) 223-0686
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD12455R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1541753
—
LA
01
—
5A764
MEDICARE PTAN
LA
Enumeration date
08/31/2006
Last updated
01/28/2021
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