person
Russell De Jong, MD
General Practice Physician in San Antonio, Texas
NPI 1205468634

Russell De Jong is a General Practice Physician based in San Antonio, TX. Russell De Jong practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Russell De Jong is 1205468634 and holds a License No. (Texas).

The current practice location address for Russell De Jong is 3551 Roger Brooke Dr, San Antonio, TX and can be reached out via phone at 210-916-2985.

Location: 3551 Roger Brooke Dr, San Antonio, TX, 78234-4504
person
Provider Profile Details
NPI Number
1205468634
Provider Name
Russell De Jong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, San Antonio, TX, 78234-4504
Phone Number
210-916-2985
Fax Number
Provider Enumeration Date
02/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-916-2985
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-916-2985
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
33801 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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