Search › Texas › 363LF0000X
Peni Jean Russell
NPI 1871878835 · on the registry since 2011 · sole proprietor
Practice
- Address
- 283 County Road 264
Nacogdoches, TX 75965 - Phone
- (936) 564-8735
- Fax
- (936) 564-5033
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-20
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