John C Russell
Cardiothoracic Vascular Surgeon
2731 Oak Bluff
San Antonio
, Texas 78230
John C Russell
Cardiothoracic Vascular Surgeon
2731 Oak Bluff
San Antonio
, Texas 78230
(210) 492-9131
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- John C Russell
- 2731 Oak Bluff
- San Antonio, TX
- Zip : 78230
- Fax : (210) 492-9131
- Phone : (210) 492-9131
Second Address
- John C Russell
- 2731 Oak Bluff
- San Antonio, TX
- Zip : 78230
- Fax : (210) 492-9131
- Phone : (210) 492-9131
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | D0279 | TX |
National Provider Identifier
| NPI | 1003918137 |
|---|---|
| Provider Name | John C Russell |
| First Address | San Antonio, TX 78230 |
| Second Address | San Antonio, TX 78230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C21432 | (02) |
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.