Individual
RUSSELL K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
114 W CASTELLANO DR, EL PASO, TX 79912-6119
(915) 532-3721
(915) 532-3724
Mailing address
114 W CASTELLANO DR, EL PASO, TX 79912-6119
(915) 532-3721
(915) 532-3724
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2241
TX PODIATRY LIC #
TX
Enumeration date
06/23/2006
Last updated
03/09/2017
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