Russell Wade Brintnall

NPI 1609983675 - Physician Assistant - 363AM0700X

NPI Details
NPI 1609983675
Gender Male
Enumeration Date 08/24/2006
Last Updated 07/14/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
308 S CESAR CHAVEZ AVE
CRYSTAL CITY TX, 78839-4200, US
Phone (830) 374-2301
Fax (830) 374-9368
Business Location
308 S CESAR CHAVEZ AVE
CRYSTAL CITY TX, 78839-4200, US
Phone (830) 374-2301
Fax (210) 615-7170
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA00220
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According to our database, Russell Wade Brintnall NPI is 1609983675, taxonomy code is 363AM0700X and license number is PA00220, license state is located at Texas. Russell Wade Brintnall physically located at 308 S Cesar Chavez Ave, Crystal City TX, 78839-4200. NPI Number Russell Wade Brintnall has the Individual type.

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1609983675 NPI number is provided on an as is basis without warranty of any kind. 1609983675 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Wade Brintnall are for informational purposes only.