P Praxis·MD
● Active Type 1 · Individual

Russell De Jong, MD

General Practice·San Antonio, TX· NPI 1205468634 · Enumerated 2020 · 6 years on NPI
De Jong is 1 of 148 general practice providers in San Antonio and 1 of 2087 in Texas.
NPI age
6 years
Enumerated 2020-02-04
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
NE
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-08-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2087 active general practice providers in Texas.

NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
3551 Roger Brooke Dr
San Antonio, TX 782344504
📞 2109162985
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 782344504

Additional practice locations

1 secondary location on file with NPPES.

Location 2
9040 Jackson Ave
Tacoma, WA 984310001
📞 2539680117

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    NE license #33801 taxonomy 208D00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 365 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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