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Gunner Russell

NPI 1518777341 · on the registry since 2025

Practice

Address
15140 Badger Ranch Blvd
Woodway, TX 76712
Phone
(254) 545-2674
Clinicians at this address
88

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-13
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas