National Provider Identifier Database

DOUGLASS J WACKER, C.P.O. – NPI #1790927192
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

DOUGLASS J WACKER, C.P.O.
3900 LA BRANCH ST
HOUSTON, TX77004-4046
Phone: 713-524-3949
Fax: 713-524-3915
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for DOUGLASS J WACKER

NPI Number 1790927192
Credentials C.P.O.
Entity Individual
Enumeration date 03/31/2009
Last updated 11/30/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 85
  • TX Medicaid: PO0012
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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