Kathryn A Wagner in Dallas - Surgery

Kathryn A Wagner - NPI 1679547046

Kathryn A Wagner is a Surgery in Dallas, Texas. Kathryn A Wagner practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kathryn A Wagner is 1679547046. The last update date is 2016-01-29.

Kathryn A Wagner's current location address is Po Box 911230, Dallas, Texas. You can contact this provider via phone number 9729978000 and fax number 9722342987. The mailing address for Kathryn A Wagner is Po Box 911230, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn A Wagner
Address Po Box 911230, Dallas, Texas
Phone Number 9729978000
Fax Number 9722342987
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1679547046
Provider Enumeration Date 2006-02-14
Last Updated Date 2016-01-29

Provider Mailing Address Detail

Address Po Box 911230
City Dallas
State Texas (TX)
Post Code 753911230
Phone Number 9729978000
Fax Number 9722342987

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No J0875
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01547654 TX RAILROAD MEDICARE
89953601 TX --
89953605 TX --

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FAQs about Kathryn A Wagner

What is the unique provider identifier assigned to Kathryn A Wagner?

The Kathryn A Wagner has been issued the NPI (National Provider Identifier) 1679547046 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Kathryn A Wagner is geographically located?

The Kathryn A Wagner is physically situated at the following location: Po Box 911230, Dallas, TX, 753911230.

What is the Kathryn A Wagner's area of specialization and corresponding taxonomy classification?

The Kathryn A Wagner's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Kathryn A Wagner receive its 1679547046 assignment from the Centers for Medicare & Medicaid Services?

The Kathryn A Wagner was assigned its 1679547046 by the Centers for Medicare & Medicaid Services on 2006-02-14.

When was the information pertaining to Kathryn A Wagner most recently updated or revised?

The details related to Kathryn A Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-29.

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