Jonathan R Russell, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L0557 Issued in TX

Legal business name

JONATHAN R RUSSELL, M.D., P.A.

Practice address

10130 Louetta Rd
Ste G
Houston, TX 77070-2118

Phone

(281) 440-4089

Fax

(832) 559-3718

NPI assigned

Aug 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jonathan R Russell, M.D.

Title

President/Physician

Phone

(281) 440-4089

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1881826378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 COLUMBIA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072625",
            "telephone_number": "832-746-4301",
            "fax_number": "832-559-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 LOUETTA RD",
            "address_2": "STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702118",
            "telephone_number": "281-440-4089",
            "fax_number": "832-559-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN R RUSSELL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "281-440-4089",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L0557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143751902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jones Comprehensive Assessment Center PC
• Jones Comprehensive Assessment Center PC

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.