Individual
MR. RUSSELL LLOYD VAHRENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., MPAS, PA-C
Contact information
Practice address
2900 ACME BRICK PLZ, FORT WORTH, TX 76109-4123
(817) 871-9067
Mailing address
2900 ACME BRICK PLZ, FORT WORTH, TX 76109-4123
(817) 871-9069
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19693
TX
Other
Enumeration date
09/08/2025
Last updated
12/22/2025
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