Staggs, Deacon Wayne

Staggs, Deacon Wayne is an individual health care provider with primary practice located at 1776 Woodstead Ct Ste 208, The Woodlands TX 77380-1480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Staggs, Deacon Wayne can be contacted via phone (512) 382-4664.

Contact Information

Primary practice address
1776 Woodstead Ct Ste 208 The Woodlands TX 77380-1480
Phone: (512) 382-4664
Fax: (512) 266-5601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M9675 Texas

Profile Details

NPI number 1356551279
LBN Legal business name Staggs, Deacon Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Oct 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356551279 NPPES
Texas MEDICAID 198193802
Texas Other 8BR156
Texas MEDICAID 198193801

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