Wagner, Henry R

Wagner, Henry R is an individual health care provider with primary practice located at 8 Professional Park Dr , Webster TX 77598-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wagner, Henry R can be contacted via phone (281) 332-9502.

Contact Information

Primary practice address
8 Professional Park Dr Webster TX 77598-4127
Fax: (281) 332-6123
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D5240 Texas

Profile Details

NPI number 1679683346
LBN Legal business name Wagner, Henry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 3rd, 2010 - 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 1679683346 NPPES
Texas MEDICAID 119138902

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