Individual
DR. CRAIG RUSSELL AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-2460
Mailing address
BAMC-3551 ROGER BROOKE DRIVE, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234
(210) 916-2460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
061688
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q5137
TX
Other
Enumeration date
08/14/2008
Last updated
07/21/2022
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