MEDICARE: ROSA SOLIMANDO RUSSO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1115899	TX

General Provider Information

NPI Number	:	1689526253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA SOLIMANDO RUSSO

Provider Business Mailing Address
First Line	:	3910 ELK CREEK CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0921
Country	:	US
Telephone Number	:	832-359-4840
Fax Number	:

Provider Business Practice Location Address
First Line	:	25600 WESTHEIMER PKWY STE 430
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7293
Country	:	US
Telephone Number	:	281-819-6663
Fax Number	:	281-819-6616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ ROSA SOLIMANDO RUSSO ” Practice Location

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