Russell C Cowan, PA is a
Physician Assistant based in Kingsland, Texas. Russell C Cowan is licensed to practice in Texas (license number PA03054) and his current practice location is
2112 Hwy 1431, Kingsland, Texas. He can be reached at his office (for appointments etc.) via phone at
(325) 388-3515.
NPI number for Russell C Cowan is 1164405403 and his current mailing address is 200 W Ollie St, Llano, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164405403.
Provider's Profile
| Full Name | Russell C Cowan |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 2112 Hwy 1431, Kingsland, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164405403
- Provider Enumeration Date: 11/21/2005
- Last Update Date: 10/17/2019
Medical Identifiers
Medical identifiers for Russell C Cowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164405403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA03054 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell C Cowan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Russell C Cowan, PA
200 W Ollie St,
Llano, TX 78643-2628
Ph: (325) 247-5040 | Russell C Cowan, PA
2112 Hwy 1431,
Kingsland, TX 78639-6010
Ph: (325) 388-3515 |
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