Individual
TIMOTHY DOWNEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
7979 WURZBACH RD FL 2, SAN ANTONIO, TX 78229
(210) 450-1016
(210) 616-5613
Mailing address
7979 WURZBACH RD FL 2, SAN ANTONIO, TX 78229-4427
(210) 450-1016
(210) 616-5613
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
230133
NY
2085R0001X
Radiation Oncology Physician
Primary
N4828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340874205
—
TX
01
—
340874206
CSHCN
TX
Enumeration date
08/10/2007
Last updated
02/19/2019
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