Individual
ANNA M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3100 SCHOFIELD RD BLDG 1179, SAN ANTONIO, TX 78234-7577
(210) 808-1859
Mailing address
3100 SCHOFIELD RD BLDG 1179, SAN ANTONIO, TX 78234-7577
(210) 808-1859
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102206966
VA
Other
Enumeration date
05/16/2020
Last updated
07/08/2024
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