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Contact Information

HAROLD WAGNER DO PA
7441 MARVIN D LOVE FWY
SUITE 300
DALLAS, TX75237-3490
 Phone: 972-572-1998
 Fax: 942-572-4842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HAROLD WAGNER DO PA

NPI Number 1255438701
LBN Legal business name HAROLD WAGNER DO PA
Authorized official HAROLD WAGNER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2006
Last updated 03/10/2010 - About 16 years ago
Identifiers
TX Medicaid 1754905 01
TX Other DC9723 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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