Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Russell Lloyd Vahrenkamp, MS, MPAS, PA-C

Individual provider Surgical Physician Assistant · NPI 1821979907

Mr. Russell Lloyd Vahrenkamp, MS, MPAS, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2025, 1 year ago. Practices with Texas Center for Urology LLP, a 14-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2900 Acme Brick Plz
Fort Worth, TX 76109-4123
Phone: (817) 871-9067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA19693 (TX)

Record details

NPI number1821979907
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , MPAS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Texas Center For Urology Llp — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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