Wagner, Chad E

Wagner, Chad E is an individual health care provider with primary practice located at 12222 Merit Dr Ste 600 , Dallas TX 75251-3294. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wagner, Chad E can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
12222 Merit Dr Ste 600 Dallas TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD41398 Tennessee
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD41398 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K8993 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35090118 Ohio

Profile Details

NPI number 1407867948
LBN Legal business name Wagner, Chad E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 7th, 2023 - about last year

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 1407867948 NPPES
Ohio MEDICAID 2809456
Ohio MEDICAID 142212304
Ohio Other P01748774
Ohio Other 8FQ903

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