Individual
RUSSELL ALLISON DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 W INTERSTATE 20 STE 218, ARLINGTON, TX 76017-5873
(817) 277-7133
(817) 274-6367
Mailing address
811 W INTERSTATE 20 STE 218, ARLINGTON, TX 76017-5873
(817) 277-7133
(817) 274-6367
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H2339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101559602
—
TX
05
—
101559603
—
TX
Enumeration date
06/14/2006
Last updated
02/14/2024
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