RUSSELL J WISE

LAREDO, TX
NPI1750313375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  633018)
Enumeration Date2006-07-06
Last Update Date2012-10-30
Business Address
Mr. RUSSELL J WISE FNP
2007 S ZAPATA HWY
LAREDO, TX 78046-6510
Phone number: 956-795-8101
Mailing Address
Mr. RUSSELL J WISE FNP
2007 S ZAPATA HWY
LAREDO, TX 78046-6510
Phone number: 956-795-8101
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