Wagner, William Jordan

Wagner, William Jordan is an individual health care provider with primary practice located at 601 E San Antonio St Ste 501, Victoria TX 77901-6004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wagner, William Jordan can be contacted via phone (361) 575-6396.

Contact Information

Primary practice address
601 E San Antonio St Ste 501 Victoria TX 77901-6004
Phone: (361) 575-6396
Fax: (361) 575-2728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D9704 Texas

Profile Details

NPI number 1518903855
LBN Legal business name Wagner, William Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1518903855 NPPES
Texas Other 816535 BLUECROSS BLUESHIELD
Texas Other 4341386 BLUECROSS BLUESHIELD

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