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Russell Wagner, MD
Orthopedic Surgery Physician in Fort Worth, Texas
NPI 1154365013

Russell Wagner is a Orthopedic Surgery Physician based in Fort Worth, TX. Russell Wagner practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Russell Wagner is 1154365013 and holds a License No. H4772 (Texas).

The current practice location address for Russell Wagner is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-7144.

Location: 1500 S Main St, Fort Worth, TX, 76199-0335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154365013
Provider Name
Russell Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 S Main St, Fort Worth, TX, 76199-0335
Phone Number
817-702-7144
Fax Number
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8U1280 01 TX BCBS
P00249664 01 TX RAILROAD MEDICARE PIN
123495705 05 TX
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-7144
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-7144
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
H4772 (Texas)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
207XS0114X
License No.
H4772 (Texas)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
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