Individual provider · Type 1 NPI

Tyler Ray Heimdal, MD

Orthopaedic Surgery of the Spine Physician · Fort Worth, TX

NPI number 1104447143 Active

Practice location

1651 W Rosedale St Ste 200
Fort Worth, TX 76104-7437

Mailing address

PO Box 961205
Fort Worth, TX 76161-0205

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery of the Spine Physician Primary 207XS0117XW3270 (TX)

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic 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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About NPI 1104447143

Tyler Ray Heimdal, MD's National Provider Identifier is 1104447143, issued on Apr 30, 2020. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 24, 2026.