Russell Wagner in Fort Worth - Adult Reconstructive Orthopaedic Surgery
Russell Wagner - NPI 1154365013
Russell Wagner is a Adult Reconstructive Orthopaedic Surgery in Fort Worth, Texas. Russell Wagner practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Russell Wagner is 1154365013. The last update date is 2013-05-22.
Russell Wagner's current location address is Po Box 99335, Fort Worth, Texas. You can contact this provider via phone number 8177352900 and fax number 8177352902. The mailing address for Russell Wagner is Po Box 99335, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Wagner |
|---|---|
| Address | Po Box 99335, Fort Worth, Texas |
| Phone Number | 8177352900 |
| Fax Number | 8177352902 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154365013 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2013-05-22 |
Provider Mailing Address Detail
| Address | Po Box 99335 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761990335 |
| Phone Number | 8177352900 |
| Fax Number | 8177352902 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | H4772 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123495705 | TX | -- | |
| P00249664 | TX | RAILROAD MEDICARE PIN | |
| 8U1280 | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Russell Wagner by the Centers for Medicare & Medicaid Services?
The Russell Wagner has been issued the NPI (National Provider Identifier) 1154365013. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Russell Wagner?
The Russell Wagner is physically situated at Po Box 99335, in the city of Fort Worth, state of TX, with the postal code 761990335.
What is the Russell Wagner's specialty and taxonomy code?
The Russell Wagner's specialty is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code is 207Xs0114X.
On what date did the Russell Wagner receive the assignment of its 1154365013 from the Centers for Medicare & Medicaid Services?
The Russell Wagner was issued its 1154365013 by the Centers for Medicare & Medicaid Services on 2006-06-15.
When was the information related to Russell Wagner most recently updated or refreshed?
The details pertaining to the Russell Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-22.
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