Reston, Rocky Russell
Reston, Rocky Russell is an individual health care provider with primary practice located at 737 Elm Valley Dr , Bulverde TX 78163-1979. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Reston, Rocky Russell can be contacted via phone (571) 319-3729.Contact Information
Primary practice address
737 Elm Valley Dr
Bulverde TX 78163-1979
Phone: (571) 319-3729
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | MD072856L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD072856L | Pennsylvania |
Profile Details
| NPI number | 1396735643 |
|---|---|
| LBN Legal business name | Reston, Rocky Russell |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Oct 30th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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