Dr PENI J RUSSELL is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.
TEXAS EM I MEDICAL SERVICES PA
117 N WINNSBORO ST
QUITMAN
TX
757832144
Tel: 4694012386
| Npi | 1871878835 |
| Pac Id | 2365608734 |
| Professional Enrollment Id | I20120730000696 |
| Last Name | RUSSELL |
| First Name | PENI |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | TEXAS EM I MEDICAL SERVICES PA |
| Group Practice Pac Id | 6507760543 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | 117 N WINNSBORO ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | QUITMAN |
| State | TX |
| Zip Code | 757832144 |
| Phone Number | 4694012386 |
| Hospital Affiliation Ccn 1 | 451360 |
| Hospital Affiliation Lbn 1 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE |
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| Professional Accepts Medicare Assignment | Y |
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