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

Individual provider Athletic Trainer · NPI 1306540810

Timmie Emil Russell II is an Athletic Trainer in Porter, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

21606 Tea Tree Olive Pl
Porter, TX 77365-6572
Phone: (281) 768-9087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1306540810
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

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