Individual
MR. CHARLES LEE WAGNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 E WHEATLAND RD, SUITE 102, DUNCANVILLE, TX 75116
(972) 298-4981
(972) 298-4984
Mailing address
777 E WHEATLAND RD, SUITE 102, DUNCANVILLE, TX 75116
(972) 298-4981
(972) 298-4984
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D4346
TX
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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