Wagner, Nicole L
Wagner, Nicole L is an sole proprietor health care provider with primary practice located at 6601 Watauga Rd Ste 126 , Watauga TX 76148-3331. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wagner, Nicole L can be contacted via phone (817) 702-6634.Contact Information
Primary practice address
6601 Watauga Rd Ste 126
Watauga TX 76148-3331
Phone: (817) 702-6634
Fax: (817) 702-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 44258 | Texas |
Profile Details
| NPI number | 1164759882 |
|---|---|
| LBN Legal business name | Wagner, Nicole L |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2009 |
| Last updated | Nov 17th, 2009 - about 16 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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