Jordan Russell

NPI 1063137313 · on the registry since 2022 · sole proprietor

Practice

Address: 17323 Interstate 35 N Ste 107
Schertz, TX 78154
Phone: (210) 659-4333
Organisation at this address: James T Thedford Dds, Pa
The Purple Cow Dental Llc
El Centro Del Barrio, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-10-10

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