Individual
DR. MOLLY ELISE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
217A OAK DR S, LAKE JACKSON, TX 77566-5675
(979) 299-3100
(979) 266-9598
Mailing address
217A OAK DR S, LAKE JACKSON, TX 77566-5675
(979) 299-3100
(979) 266-9598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT217904
PA
208600000X
Surgery Physician
Primary
W4591
TX
Other
Enumeration date
05/28/2019
Last updated
06/30/2026
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