Individual
DR. CHAD E WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-0865
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35090118
OH
207L00000X
Anesthesiology Physician
Primary
K8993
TX
207L00000X
Anesthesiology Physician
MD41398
TN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD41398
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142212304
—
TX
05
—
2809456
—
OH
01
—
8FQ903
BCBS
TX
01
—
P01748774
RR MEDICARE
TX
Enumeration date
08/10/2006
Last updated
10/20/2025
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