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Individual

SANDRA L RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
17010 SUGAR PINE DR., HOUSTON, TX 77090
(281) 537-8627
(281) 537-8628
Mailing address
2150 W. 18TH STREET, #300, HOUSTON, TX 77008
(713) 426-0027
(713) 526-1422

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
513234
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202850801
TX
Enumeration date
01/26/2012
Last updated
04/30/2025
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