Individual
DR. GREGG A VAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 W 38TH ST STE 102, AUSTIN, TX 78705
(512) 454-4561
(512) 406-7330
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 338-3802
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
L3168
TX
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
L3168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173464201
—
TX
05
—
173464202
—
TX
05
—
173464203
—
TX
Enumeration date
01/25/2006
Last updated
06/14/2021
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