Harold G Wagner
Emergency Physician Geriatric Medicine
7441 Marvin D Love Fwy Ste 300
Dallas
, Texas 75237-3490
Harold G Wagner
Emergency Physician Geriatric Medicine
7441 Marvin D Love Fwy Ste 300
Dallas
, Texas 75237-3490
(972) 572-4842
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About
Features
Specialties
- Emergency Physician
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Harold G Wagner
- 7441 Marvin D Love Fwy Ste 300
- Dallas, TX
- Zip : 75237-3490
- Fax : (972) 572-4842
- Phone : (972) 572-1998
Second Address
- Harold G Wagner
- 7441 Marvin D Love Fwy Ste 300
- Dallas, TX
- Zip : 75237-3490
- Fax : (972) 572-4842
- Phone : (972) 572-1998
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | H6679 | TX |
| Y | 207RG0300X | Geriatric Medicine | H6679 | TX |
National Provider Identifier
| NPI | 1114015138 |
|---|---|
| Provider Name | Harold G Wagner |
| First Address | Dallas, TX 75237-3490 |
| Second Address | Dallas, TX 75237-3490 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 03/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008PH | BCBS PIN (01) | TX |
| 140123437 | (05) | TX |
| E81851 | (02) | TX |
| P00207035 | RAILROAD MEDICARE PIN (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.