Individual
RUSSELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
950 CORBINDALE RD STE 300, HOUSTON, TX 77024-2849
(713) 486-1700
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA08068
TX
Other
Enumeration date
08/28/2012
Last updated
08/02/2023
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