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1174183966
PETER RUSSELL BRUMBACK
HOUSTON, TX
NPI
1174183966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 831420)
Enumeration Date
2019-06-14
Last Update Date
2019-12-04
Business Address
PETER RUSSELL BRUMBACK CRNA
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
PETER RUSSELL BRUMBACK CRNA
P O BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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