Wagaman, Michael

Wagaman, Michael is an individual health care provider with primary practice located at 529 Industrial Blvd Ste 101 , Grapevine TX 76051-8609. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Wagaman, Michael can be contacted via phone (817) 313-2988.

Contact Information

Primary practice address
529 Industrial Blvd Ste 101 Grapevine TX 76051-8609
Phone: (817) 313-2988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 3131281 Texas

Profile Details

NPI number 1780378596
LBN Legal business name Wagaman, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2023
Last updated Jun 5th, 2023 - about 2 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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