Russell, Timi Renee
Russell, Timi Renee is an sole proprietor health care provider with primary practice located at 14826 Beechmoor Dr , Houston TX 77095-3304. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Russell, Timi Renee can be contacted via phone (713) 705-7953.Contact Information
Primary practice address
14826 Beechmoor Dr
Houston TX 77095-3304
Phone: (713) 705-7953
Fax: (832) 478-9266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X |
Profile Details
| NPI number | 1497010151 |
|---|---|
| LBN Legal business name | Russell, Timi Renee |
| Credentials | CSFA, LSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Apr 8th, 2020 - about 4 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497010151 | NPPES |
| Texas | Other | SA00720 | TEXAS MEDICAL BOARD |
| Texas | Other | 135207 | TEXAS MEDICAL BOARD |
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