person
Kenneth Spencer Bode, MD
Orthopedic Surgery Physician in Fort Worth, Texas
NPI 1710100045

Kenneth Spencer Bode is a Orthopedic Surgery Physician based in Fort Sam Houston, TX. Kenneth Spencer Bode practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Kenneth Spencer Bode is 1710100045 and holds a License No. A122470 (Texas).

The current practice location address for Kenneth Spencer Bode is 6301 Harris Pkwy Ste 200, Fort Worth, TX and can be reached out via phone at 817-433-3450.

Location: 6301 Harris Pkwy Ste 200, Fort Worth, TX, 78234-4504
person
Provider Profile Details
NPI Number
1710100045
Provider Name
Kenneth Spencer Bode
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6301 Harris Pkwy Ste 200, Fort Worth, TX, 78234-4504
Phone Number
817-433-3450
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U1474 01 TX STATE LICENSE
MD60635856 01 WA STATE
A122470 01 CA STATE LICENCE
institution
Provider Business Practice Location Address Details
Address
6301 Harris Pkwy Ste 200
City
State
Zip
76132-4265
Phone Number
817-433-3450
Fax Number
person
Provider Business Mailing Address Details
Address
6301 Harris Pkwy Ste 200
City
State
Zip
76132-4265
Phone Number
817-433-3450
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
License No.
MD60635856 (Washington)
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
Orthopedic Surgery of the Spine
Taxonomy
License No.
A122470 (California)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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