Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Edward L. Russell, PA

Individual provider Physician Assistant · NPI 1689776411

Mr. Edward L. Russell, PA is a Physician Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone: (210) 921-3800
Fax: (210) 334-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01214 (TX)

Record details

NPI number1689776411
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJanuary 12, 2015

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