Kathryn Russell, PA-C
NPI #1992390363 in San Antonio, Texas
Provider Information
- NPI Number
- 1992390363
- Entity Type
- Individual
- Name
- Kathryn Russell, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 7, 2021
- Last Updated
- Jun 20, 2021
Practice Location
- Address
- 2829 BABCOCK RD STE 106
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78229-6009
- Phone
- (210) 951-9055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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