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1801188529
TYLER G RUSSELL
FORT SAM HOUSTON, TX
NPI
1801188529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 10248228-2501)
Enumeration Date
2011-05-12
Last Update Date
2021-05-12
Business Address
TYLER G RUSSELL Psy.D.
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
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Mailing Address
TYLER G RUSSELL Psy.D.
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
Copy
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