Individual
RUSSELL LEE CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10210 GROGANS MILL RD STE 210, THE WOODLANDS, TX 77380-1143
(936) 291-2582
Mailing address
43 S WAXBERRY RD, SPRING, TX 77381-2836
(936) 291-2582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT137891
TX
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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