Russell Perry, Md, Pa

NPI 1194125161 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1194125161
Enumeration Date 08/27/2014
Last Updated 03/05/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RUSSELL K. RUSSELL
Position OWNER
Phone (409) 892-7090
Fax (409) 892-4324
Practice Location
2965 HARRISON ST
SUITE 315
BEAUMONT TX, 77702-1100, US
Phone (409) 892-7090
Fax (409) 892-4324
Business Location
2965 HARRISON ST
SUITE 315
BEAUMONT TX, 77702-1100, US
Phone (409) 892-7090
Fax (409) 892-4324
Toxanomy
Taxonomy Code 207K00000X
License State Texas
License Number N3241
Remove 1194125161 NPI Number
 

According to our database, Russell Perry, Md, Pa NPI is 1194125161, taxonomy code is 207K00000X and license number is N3241, license state is located at Texas. Russell Perry, Md, Pa physically located at 2965 Harrison St, Beaumont TX, 77702-1100. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1194125161 NPI number is provided on an as is basis without warranty of any kind. 1194125161 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Perry, Md, Pa are for informational purposes only.