Organization
JOHN ALLEN VAN WAGONER, MD, PA
Active
Other names
SOUTHWEST ALLERGY AND ASTHMA CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN VAN WAGONER MD, PA (OWNER)
(972) 398-3500
Entity
Organization
Contact information
Practice address
6101 WINDCOM CT, SUITE #400, PLANO, TX 75093-7817
(972) 398-3500
(972) 398-3512
Mailing address
6101 WINDCOM CT, SUITE #400, PLANO, TX 75093-7817
(972) 398-3500
(972) 398-3512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K8854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053389502
DR JOHN VANWAGONER NPI
TX
05
—
142171101
—
TX
05
—
200032370A
—
OK
Enumeration date
03/22/2007
Last updated
09/18/2025
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