Individual
HENRY R WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-9502
(281) 332-6123
Mailing address
8 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-9502
(281) 332-6123
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D5240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119138902
—
TX
Enumeration date
08/30/2006
Last updated
12/03/2010
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