John Otto Wagner in San Antonio - Military Health Care Provider
John Otto Wagner - NPI 1942316385
John Otto Wagner is a Military Health Care Provider in San Antonio, Texas. John Otto Wagner practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for John Otto Wagner is 1942316385. The last update date is 2007-07-08.
John Otto Wagner's current location address is 626 Crestway Dr, San Antonio, Texas. You can contact this provider via phone number 2103232209 and fax number 8883236008. The mailing address for John Otto Wagner is 626 Crestway Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Otto Wagner |
|---|---|
| Address | 626 Crestway Dr, San Antonio, Texas |
| Phone Number | 2103232209 |
| Fax Number | 8883236008 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942316385 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 626 Crestway Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782392152 |
| Phone Number | 2103232209 |
| Fax Number | 8883236008 |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the unique identifier code issued to John Otto Wagner by the Centers for Medicare & Medicaid Services?
The John Otto Wagner has been assigned the NPI (National Provider Identifier) 1942316385. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John Otto Wagner is located?
The John Otto Wagner is situated at the following address: 626 Crestway Dr, San Antonio, TX, 782392152.
What is John Otto Wagner's area of expertise and its corresponding taxonomy classification?
The John Otto Wagner's field of specialization is Military Health Care Provider, and it falls under the taxonomy code 171000000X, which categorizes healthcare providers based on their areas of practice.
On what date did John Otto Wagner receive its 1942316385 assignment from the Centers for Medicare & Medicaid Services?
The John Otto Wagner was assigned its 1942316385 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Otto Wagner most recently updated?
The details pertaining to the John Otto Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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