Kenneth Spencer Bode is a Fort Worth, Texas based male orthopedic surgeon who is specialized in Orthopaedic Surgery of the Spine. Active license number of Kenneth Spencer Bode is U1474 for Orthopaedic Surgery of the Spine in Texas.
Kenneth Spencer Bode deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Kenneth Spencer Bode speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopaedic Surgery of the Spine
Credentials:
MD
Gender:
Male
Practice Address:
6301 Harris Pkwy Ste 200, Fort Worth, Texas, 76132-4265
Phone:
817-433-3450
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710100045
NPI Enumeration Date:
11 Apr, 2007
NPI Last Update On:
29 May, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Spencer Bode are as mentioned below.
License Number
Specialization
State
Status
U1474
Orthopaedic Surgery of the Spine
Texas
Primary
A122470
Orthopaedic Surgery of the Spine
California
Secondary
MD60635856
Orthopaedic Surgery of the Spine
Washington
Secondary
U1474
Orthopedic Surgery
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Spencer Bode such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
U1474
Other
Texas
STATE LICENSE
MD60635856
Other
Washington
STATE
A122470
Other
California
STATE LICENCE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3551 Roger Brooke Dr, Fort Sam Houston, Texas
Zip:
78234-4504
Phone Number:
210-916-5586
Fax Number:
210-916-5102
Patients can reach Kenneth Spencer Bode at 6301 Harris Pkwy Ste 200, Fort Worth, Texas or can call to book an appointment on 817-433-3450. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
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