Nagel, Theodore William
Nagel, Theodore William is an individual health care provider with primary practice located at 1250 8Th Ave Ste 265 , Fort Worth TX 76104-4124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Nagel, Theodore William can be contacted via phone (682) 200-8580.Contact Information
Primary practice address
1250 8Th Ave Ste 265
Fort Worth TX 76104-4124
Phone: (682) 200-8580
Fax: (682) 200-8581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 35122154 | Ohio |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | Q6247 | Texas |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | Q6247 | Texas |
Profile Details
| NPI number | 1124287644 |
|---|---|
| LBN Legal business name | Nagel, Theodore William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Sep 17th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124287644 | NPPES |
| Ohio | MEDICAID | 0092488 |
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