Russell, Timmie Emil

Russell, Timmie Emil is an individual health care provider with primary practice located at 21606 Tea Tree Olive Pl , Porter TX 77365-6572. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Russell, Timmie Emil can be contacted via phone (281) 768-9087.

Contact Information

Primary practice address
21606 Tea Tree Olive Pl Porter TX 77365-6572
Phone: (281) 768-9087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1306540810
LBN Legal business name Russell, Timmie Emil
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2023
Last updated May 9th, 2023 - 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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