Individual
WILLIAM WRIGHT WAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 S JOHN REDDITT DR, SUITE B, LUFKIN, TX 75904-5666
(936) 632-6111
(936) 632-9182
Mailing address
2801 S JOHN REDDITT DR, SUITE B, LUFKIN, TX 75904-5666
(936) 632-6111
(936) 632-9182
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F2087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093898701
—
TX
Enumeration date
10/18/2005
Last updated
11/08/2011
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