Theodore William Nagel
Surgeon Plastic and Reconstructive Surgery
1250 8th Ave Ste 265
Fort Worth
, Texas 76104-4124
Theodore William Nagel
Surgeon Plastic and Reconstructive Surgery
1250 8th Ave Ste 265
Fort Worth
, Texas 76104-4124
(682) 200-8581
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Theodore William Nagel
- 8601 Cantera Way
- Benbrook, TX
- Zip : 76126-1133
- Fax : (682) 200-8581
- Phone : (682) 200-8580
Second Address
- Theodore William Nagel
- 1250 8th Ave Ste 265
- Fort Worth, TX
- Zip : 76104-4124
- Fax : (682) 200-8581
- Phone : (682) 200-8580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 35122154 | OH |
| N | 208600000X | Surgeon | 35122154 | OH |
| N | 208200000X | Surgeon | Q6247 | TX |
| N | 208600000X | Surgeon | Q6247 | TX |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | Q6247 | TX |
National Provider Identifier
| NPI | 1124287644 |
|---|---|
| Provider Name | Theodore William Nagel |
| First Address | Benbrook, TX 76126-1133 |
| Second Address | Fort Worth, TX 76104-4124 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2008 |
| Last Update Date | 17/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0092488 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.