Individual provider · Type 1 NPI

Theodore William Nagel, MD

Plastic and Reconstructive Surgery Physician · Fort Worth, TX

NPI number 1124287644 Active

Practice location

1250 8th Ave Ste 265
Fort Worth, TX 76104-4124

Fax (682) 200-8581

Mailing address

8601 Cantera Way
Benbrook, TX 76126-1133

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X35122154 (OH)
Plastic Surgery Physician 208200000XQ6247 (TX)
Plastic and Reconstructive Surgery Physician Primary 2086S0122XQ6247 (TX)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1124287644

Theodore William Nagel, MD's National Provider Identifier is 1124287644, issued on Jun 9, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 17, 2021.