RUSSELL PERRY, MD, PA
Osteopathic Medicine at Harrison St, Beaumont, TX

License number
Texas N3241
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: DR. RUSSELL K. PERRY M.D.
Title: OWNER
Phone: (409) 892-7090
Address
Address
2965 Harrison St SUITE 315, Beaumont, TX 77702
National Provider ID: 1194125161
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RUSSELL PERRY, MD, PA

2965 Harrison St STE 315, Beaumont, TX 77702

Registration:
May 13, 2014
State ID:
0801989276
Agent:
Russell Perry,2965 Harrison St STE 315, Beaumont, TX 77702 (Physical)
TIN:
32054053536

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