Russell C Cowan, PA

NPI #1164405403 in Kingsland, Texas

Provider Information

NPI Number: 1164405403
Entity Type: Individual
Name: Russell C Cowan, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 21, 2005
Last Updated: Oct 17, 2019

Practice Location

Address: 2112 HWY 1431
City: Kingsland
State: Texas
ZIP Code: 78639-6010
Phone: (325) 388-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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