CHRISTAN DEPAUL RUSSELL (NPI# 1295377406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295377406 |
Entity Type | Individual |
Full Name | CHRISTAN DEPAUL RUSSELL |
Practice Address |
17202 Kobuk Valley Cir Humble TX 77346-2951 |
Practice Telephone | 8327576332 |
Mailing Telephone | 8327576332 |
Enumeration Date | 2019-10-09 |
Last Update Date | 2019-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
K9120 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
17202 KOBUK VALLEY CIR |
City | HUMBLE |
State | TX |
Zip Code | 77346-2951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
Find all providers in zip 77346 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1457969917 | Grace Gathoni Kamau | Nurse Practitioner | 3255 Yeltes, Grand Prairie, TX 75054-7505 | 2020-07-21 |
1053943217 | Joeresty Tabujara Abelida | Nurse Practitioner | 5711 Dhaka Vw, San Antonio, TX 78250-4630 | 2020-02-06 |
1972078541 | Robert Engle | Nurse Practitioner | 6306 Rincon Way, Dallas, TX 75214-2039 | 2018-10-09 |
1083141071 | Preethi Antony | Nurse Practitioner | Baylor College of Medicine-baylor St Lukes Medical Gp, 6720 Bertner Avenue, Houston, TX 77030 | 2017-05-22 |
1750750030 | Jose Tirso Montecillo | Nurse Practitioner | 2009 Dartmouth Ave, Mcallen, TX 78504-5767 | 2015-09-17 |
1770505901 | Nola Sikora Damon | Nurse Practitioner | 3409 Andrews Hwy, Midland, TX 79703-5149 | 2006-07-24 |
1417938937 | Julie Gay Loudamy | Nurse Practitioner | 318 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2005-11-10 |
1831798685 | Jacob Don Paul | Nurse Practitioner | 3615 19th St, Lubbock, TX 79410-1203 | 2020-10-22 |
1376140756 | Sandisiwe Ndlovu | Nurse Practitioner | 6651 Main St, Houston, TX 77030-2351 | 2020-10-08 |
1790391746 | Savannah Rae Prantil | Nurse Practitioner | 18220 Tx-249, Houston, TX 77070 | 2020-09-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.