Danta Russell

NPI #1568145118 in Angleton, Texas

Provider Information

NPI Number: 1568145118
Entity Type: Individual
Name: Danta Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 10, 2023
Last Updated: Aug 10, 2023

Practice Location

Address: 120 E HOSPITAL DR
City: Angleton
State: Texas
ZIP Code: 77515-4112
Phone: (979) 849-2447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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