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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDWARD L. RUSSELL, PA

Active

MR. EDWARD L. RUSSELL, PA is a Physician Assistant healthcare provider located in SAN ANTONIO, Texas. NPI 1689776411 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAN ANTONIO, TX

Registration Details

NPI Number
1689776411
Provider Type
Individual
Gender
Male
NPI Issued
Sep 2, 2006 (19.767655932102 yrs)
Last Updated
Jan 12, 2015
License
PA01214 (TX)

Practice Information

Address
720 PLEASANTON RD
SAN ANTONIO, TX, 782141306
Browse TX providers · Browse ZIP 78214
Phone
2109213800
Fax
2103342851
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SAN ANTONIO, TX

Name Credential NPI
MICHAEL EDWARD CHAMPION PA 1558364018
VANESSA N BECKER PA-C 1861496440
ECHO J WALBY PA-C 1003810680
MR. LARRY GENE PIZZOLA PA-C 1679577308
ALITZA K FORD PA-C 1356346886
MR. HASEEB ALI PA 1538168299
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.