Organization
JOHN PETER SMITH HOSPITAL ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL WAGNER (PROGRAM DIRECTOR)
(817) 927-1370
Entity
Organization
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1321
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
P1268
TX
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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