Individual provider · Type 1 NPI

Russell Lloyd Vahrenkamp, M.S., MPAS, PA-C

Surgical Physician Assistant · Fort Worth, TX

NPI number 1821979907 Active

Practice location

2900 Acme Brick Plz
Fort Worth, TX 76109-4123

Call (817) 871-9067 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA19693 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1821979907

Russell Lloyd Vahrenkamp, M.S., MPAS, PA-C's National Provider Identifier is 1821979907, issued on Sep 8, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 22, 2025.