Wagner, Karen D
Wagner, Karen D is an individual health care provider with primary practice located at 301 University Blvd Rt 1022, Galveston TX 77555-1022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Wagner, Karen D can be contacted via phone (409) 772-0848.Contact Information
Primary practice address
301 University Blvd Rt 1022
Galveston TX 77555-1022
Phone: (409) 772-0848
Fax: (409) 772-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | H7247 | Texas |
Profile Details
| NPI number | 1114085578 |
|---|---|
| LBN Legal business name | Wagner, Karen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jan 24th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114085578 | NPPES |
| Texas | MEDICAID | 125044102 |
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