Individual
RUBIELA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12266 FM 1960 RD W, HOUSTON, TX 77065-5073
(832) 237-3500
Mailing address
13100 NORTHWEST FWY, SUITE 400, HOUSTON, TX 77040-6310
(832) 237-3500
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
763222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
763222
RN LICENSE
TX
Enumeration date
10/27/2015
Last updated
10/27/2015
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