# DRS WAGNER & WAGNER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124087887
- **Authorized official:** RALPH WAGNER MD (PARTNER)
- **Authorized official phone:** (361) 594-3824

## Contact information

- **Practice address:** 124 E WOLTERS 2ND, SHINER, TX 77984-7109
- **Practice address phone:** (361) 594-3824
- **Practice address fax:** (361) 594-4104
- **Mailing address:** PO BOX 965, SHINER, TX 77984-0965
- **Mailing address phone:** (361) 594-3824
- **Mailing address fax:** (361) 594-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H4771 | TX | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 07/18/2008