Philippe Russian

NPI 1457072209 · on the registry since 2022

Practice

Address: 2104 Greenbriar Dr
Southlake, TX 76092
Phone: (817) 442-9022
Organisation at this address: Pine Cone Therapies Llc
Pct Speech Therapy Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 184

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-09-09

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