Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Russell, PA-C

Individual provider Physician Assistant · NPI 1992390363

Kathryn Russell, PA-C is a Physician Assistant in San Antonio, Texas. Qualified in 2020, 6 years ago. Practices with Virginia Hospital Center Physician Group LLC, a 350-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009
Phone: (210) 951-9055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1992390363
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 7, 2021
Last updated in NPPESJune 20, 2021
Certification dateJune 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Virginia Hospital Center Physician Group Llc — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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