Individual
DR. RUSSELL BENJAMIN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10840 TEXAS HEALTH TRL STE 250, FORT WORTH, TX 76244-6850
(817) 750-1310
(817) 750-1311
Mailing address
PO BOX 2078, DECATUR, TX 76234
(940) 626-1905
(940) 626-1901
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N1312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284869901
—
TX
01
—
8CN347
BCBS
TX
Enumeration date
11/16/2009
Last updated
12/03/2025
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