Organization
JON RUSCIANO, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON RUSCIANO MD (MANAGER)
(832) 380-5354
Entity
Organization
Contact information
Practice address
5233 BELLAIRE BLVD # 226, BELLAIRE, TX 77401-3901
(832) 380-5354
(662) 554-4536
Mailing address
5233 BELLAIRE BLVD # 226, BELLAIRE, TX 77401-3901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P1137
TX
Other
Enumeration date
07/14/2018
Last updated
10/14/2020
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