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RUSSELL DEAN HAVRANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8550 DATAPOINT DR, SUITE 200, SAN ANTONIO, TX 78229-3270
(210) 615-8308
(210) 615-8313
Mailing address
8550 DATAPOINT DR, SUITE 200, SAN ANTONIO, TX 78229-3270
(210) 615-8308
(210) 615-8313

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K8633
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145138703
TX
Enumeration date
11/03/2006
Last updated
10/29/2015
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