Individual
DR. DEACON WAYNE STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1776 WOODSTEAD CT, STE 208, THE WOODLANDS, TX 77380-1480
(512) 382-4664
(512) 266-5601
Mailing address
1776 WOODSTEAD CT, STE 208, THE WOODLANDS, TX 77380-1480
(281) 724-3050
(281) 724-3100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M9675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198193801
—
TX
05
—
198193802
—
TX
01
—
8BR156
BCBS
TX
Enumeration date
05/22/2007
Last updated
10/03/2019
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