Russell Psychiatry, Professional Limited Liability Company

NPI #1356846729 in Conroe, Texas

Provider Information

NPI Number: 1356846729
Entity Type: Organization
Organization Name: Russell Psychiatry, Professional Limited Liability Company
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Mar 28, 2018
Last Updated: Mar 28, 2018

Practice Location

Address: 2006 S LOOP 336 W STE 500
City: Conroe
State: Texas
ZIP Code: 77304-3315
Phone: (817) 726-9444

Authorized Official

Name: DR. STACEY RUSSELL, MD
Title: MANAGER/LEAD PSYCHIATRIST
Phone: (817) 726-9444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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