Individual
DR. JOHN ALLEN VANWAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6101 WINDCOM CT, SUITE 400, PLANO, TX 75093-7817
(972) 398-3500
(972) 398-3512
Mailing address
6101 WINDCOM CT STE 400, PLANO, TX 75093-7820
(972) 398-3500
(972) 398-3512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K8854
TX
Other
Enumeration date
03/10/2006
Last updated
04/15/2026
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