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Dr. Russell Eugene Fothergill, MD
Obstetrics & Gynecology Physician in Temple, Texas
NPI 1063472504

Russell Eugene Fothergill is a Obstetrics & Gynecology Physician based in Dallas, TX. Russell Eugene Fothergill practices in Temple, TX and has the professional credentials of MD. The NPI Number for Russell Eugene Fothergill is 1063472504 and holds a License No. L2890 (Texas).

The current practice location address for Russell Eugene Fothergill is 1713 Sw H K Dodgen Loop Ste 100, Temple, TX and can be reached out via phone at 254-771-8100 and via fax at 254-771-8101.

Location: 1713 Sw H K Dodgen Loop Ste 100, Temple, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063472504
Provider Name
Russell Eugene Fothergill
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1713 Sw H K Dodgen Loop Ste 100, Temple, TX, 75284-4658
Phone Number
254-771-8100
Fax Number
254-771-8101
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659237-01 01 TX CSHCN
1659237-01 05 TX
P00195392 01 TX RR/MEDICARE
8P1481 01 TX BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1713 Sw H K Dodgen Loop Ste 100
City
Temple
State
Texas
Zip
76502-1836
Phone Number
254-771-8100
Fax Number
254-771-8101
person
Provider Business Mailing Address Details
Address
1713 Sw H K Dodgen Loop Ste 100
City
Temple
State
Texas
Zip
76502-1836
Phone Number
254-771-8100
Fax Number
254-771-8101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
L2890 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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