Christan Depaul Russell
Nurse Practitioner - Critical Care Medicine
17202 Kobuk Valley Cir
Humble
, Texas 77346-2951
Christan Depaul Russell
Nurse Practitioner - Critical Care Medicine
17202 Kobuk Valley Cir
Humble
, Texas 77346-2951
(832) 757-6332
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Christan Depaul Russell
- 17202 Kobuk Valley Cir
- Humble, TX
- Zip : 77346-2951
- Phone : (832) 757-6332
Second Address
- Christan Depaul Russell
- 17202 Kobuk Valley Cir
- Humble, TX
- Zip : 77346-2951
- Phone : (832) 757-6332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | K9120 | TX |
National Provider Identifier
| NPI | 1295377406 |
|---|---|
| Provider Name | Christan Depaul Russell |
| First Address | Humble, TX 77346-2951 |
| Second Address | Humble, TX 77346-2951 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.