Individual
DOUGLAS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3327 RESEARCH PLZ STE 403, SAN ANTONIO, TX 78235
(210) 337-6228
Mailing address
7909 FREDERICKSBURG RD STE 110, SAN ANTONIO, TX 78229-3400
(210) 614-4544
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R6890
TX
Other
Enumeration date
05/16/2013
Last updated
10/08/2018
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