Harold G Wagner in Dallas - Geriatric Medicine

Harold G Wagner - NPI 1114015138

Harold G Wagner is a Geriatric Medicine in Dallas, Texas. Harold G Wagner practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Harold G Wagner is 1114015138. The last update date is 2010-03-03.

Harold G Wagner's current location address is 7441 Marvin D Love Fwy, Dallas, Texas. You can contact this provider via phone number 9725721998 and fax number 9725724842. The mailing address for Harold G Wagner is 7441 Marvin D Love Fwy, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Harold G Wagner
Address 7441 Marvin D Love Fwy, Dallas, Texas
Phone Number 9725721998
Fax Number 9725724842
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1114015138
Provider Enumeration Date 2006-10-11
Last Updated Date 2010-03-03

Provider Mailing Address Detail

Address 7441 Marvin D Love Fwy
City Dallas
State Texas (TX)
Post Code 752373490
Phone Number 9725721998
Fax Number 9725724842

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No H6679
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00207035 TX RAILROAD MEDICARE PIN
008PH TX BCBS PIN
140123437 TX --

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FAQs about Harold G Wagner

What is the unique identifier code issued to Harold G Wagner by the Centers for Medicare & Medicaid Services?

The Harold G Wagner has been assigned the NPI (National Provider Identifier) 1114015138. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Harold G Wagner's facilities are situated?

The facilities of Harold G Wagner are physically located at the following address: 7441 Marvin D Love Fwy, Dallas, TX, 752373490.

What is Harold G Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Harold G Wagner's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114015138 to Harold G Wagner?

The Harold G Wagner received its 1114015138 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.

As of what date were the details pertaining to Harold G Wagner last refreshed?

The information related to the Harold G Wagner, including its address, specialty, and other relevant details, was last updated on 2010-03-03.

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