Wagner, Anne P

Wagner, Anne P is an individual health care provider with primary practice located at 605 E San Antonio St Suite 430E, Victoria TX 77901-6050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Wagner, Anne P can be contacted via phone (361) 576-0011.

Contact Information

Primary practice address
605 E San Antonio St Suite 430E Victoria TX 77901-6050
Fax: (361) 576-4084
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G6095 Texas

Profile Details

NPI number 1033103569
LBN Legal business name Wagner, Anne P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Feb 3rd, 2011 - about 14 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 1033103569 NPPES
Texas MEDICAID 033323902

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