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1912343096
DOUGLAS RUSSELL
SAN ANTONIO, TX
NPI
1912343096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: TX R6890)
Enumeration Date
2013-05-16
Last Update Date
2018-10-08
Business Address
DOUGLAS RUSSELL DO
3327 RESEARCH PLZ STE 403
SAN ANTONIO, TX 78235
Phone number: 210-337-6228
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Mailing Address
DOUGLAS RUSSELL DO
7909 FREDERICKSBURG RD STE 110
SAN ANTONIO, TX 78229-3400
Phone number: 210-614-4544
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