Individual
DR. JAMES MICHAEL WAGES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8731 PARK PLAZA DR, SHREVEPORT, LA 71105-5682
(318) 797-5848
(318) 797-5844
Mailing address
8731 PARK PLAZA DR, SHREVEPORT, LA 71105-5682
(318) 797-5848
(318) 797-5844
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
FW2014023581
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
2014023581
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
345041
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Q3305
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
345041
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074534
—
LA
Enumeration date
06/30/2010
Last updated
01/23/2026
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