Corcoran, Russell Lee
Corcoran, Russell Lee is an individual health care provider with primary practice located at 10210 Grogans Mill Rd Ste 210 , The Woodlands TX 77380-1143. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Corcoran, Russell Lee can be contacted via phone (936) 291-2582.Contact Information
Primary practice address
10210 Grogans Mill Rd Ste 210
The Woodlands TX 77380-1143
Phone: (936) 291-2582
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT137891 | Texas |
Profile Details
NPI number | 1700657392 |
---|---|
LBN Legal business name | Corcoran, Russell Lee |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2024 |
Last updated | Jan 11th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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