National Provider Identifier Database

KEITH A WAGUESPACK, MD – NPI #1124014659
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

KEITH A WAGUESPACK, MD
2021 N MACARTHUR BLVD STE 450
IRVING, TX75061
Phone: 866-367-8768
Fax: 817-541-9301
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for KEITH A WAGUESPACK

NPI Number 1124014659
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 07/17/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • TX License #: L7918
  • TX Medicaid: 165039201
  • TX Medicaid: 165039202
  • TX Medicaid: 165039203
  • TX Medicaid: 165039204
  • TX Medicaid: 165039205
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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