Individual
JAMES D RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2318 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3229
(210) 659-0323
(210) 659-7668
Mailing address
2318 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3229
(210) 241-2198
(210) 659-7668
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000148
TX
Other
Enumeration date
11/01/2006
Last updated
01/19/2016
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