Individual
JOSHUA CAREY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1218 S BROADWAY STE 310, LEXINGTON, KY 40504-2759
(859) 219-0542
(859) 219-9433
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15177
TX
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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