Individual
HAROLD G WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7441 MARVIN D LOVE FWY, STE 300, DALLAS, TX 75237-3490
(972) 572-1998
(972) 572-4842
Mailing address
7441 MARVIN D LOVE FWY, STE 300, DALLAS, TX 75237-3490
(972) 572-1998
(972) 572-4842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H6679
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
H6679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008PH
BCBS PIN
TX
05
—
140123437
—
TX
01
—
P00207035
RAILROAD MEDICARE PIN
TX
Enumeration date
10/11/2006
Last updated
03/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us