Wagner, Kathryn A

Wagner, Kathryn A is an individual health care provider with primary practice located at 414 Navarro St Ste 1407, San Antonio TX 78205-2516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Wagner, Kathryn A can be contacted via phone (210) 277-6255.

Contact Information

Primary practice address
414 Navarro St Ste 1407 San Antonio TX 78205-2516
Phone: (210) 277-6255
Fax: (210) 277-6256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J0875 Texas

Profile Details

NPI number 1679547046
LBN Legal business name Wagner, Kathryn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 29th, 2016 - about 8 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 1679547046 NPPES
Texas Other P01547654 RAILROAD MEDICARE
Texas MEDICAID 089953601 RAILROAD MEDICARE
Texas MEDICAID 089953605 RAILROAD MEDICARE

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