Wagner, Scott Brian

Wagner, Scott Brian is an individual health care provider with primary practice located at 613 Elizabeth St Suite 605, Corpus Christi TX 78404-2220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wagner, Scott Brian can be contacted via phone (361) 883-6211.

Contact Information

Primary practice address
613 Elizabeth St Suite 605 Corpus Christi TX 78404-2220
Phone: (361) 883-6211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 655472 Texas

Profile Details

NPI number 1679562516
LBN Legal business name Wagner, Scott Brian
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Sep 23rd, 2011 - about 13 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 1679562516 NPPES
Texas MEDICAID 0034548-02

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