SUSAN RUSSO

AUSTIN, TX
NPI1073944534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  755964)
Enumeration Date2013-12-10
Last Update Date2014-11-25
Business Address
-- SUSAN RUSSO CPNP-PC
1301 BARBARA JORDAN BLVD SUITE 200
AUSTIN, TX 78723-3077
Phone number: 512-628-1820
Mailing Address
-- SUSAN RUSSO CPNP-PC
1301 BARBARA JORDAN BLVD SUITE 200
AUSTIN, TX 78723-3077
Phone number: 512-628-1820