Anthony Russo

NPI #1700860400 in Pflugerville, Texas

Provider Information

NPI Number: 1700860400
Entity Type: Individual
Name: Anthony Russo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Dec 6, 2005
Last Updated: Jul 30, 2025

Practice Location

Address: 821 GRAND AVENUE PKWY STE 200
City: Pflugerville
State: Texas
ZIP Code: 78660-2197
Phone: (512) 251-5586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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