William Jordan Wagner JR. M.D.

NPI 1518903855 - Surgery - 208600000X

NPI Details
NPI 1518903855
Gender Male
Enumeration Date 06/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
601 E SAN ANTONIO ST
STE 501
VICTORIA TX, 77901-6004, US
Phone (361) 575-6396
Fax (361) 575-2728
Business Location
601 E SAN ANTONIO ST
STE 501
VICTORIA TX, 77901-6004, US
Phone (361) 575-6396
Fax (361) 575-2728
Toxanomy
Taxonomy Code 208600000X
License State Texas
License Number D9704
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According to our database, Dr. William Jordan Wagner JR. M.D. NPI is 1518903855, taxonomy code is 208600000X and license number is D9704, license state is located at Texas. William Jordan Wagner JR. M.D. physically located at 601 E San Antonio St, Victoria TX, 77901-6004. NPI Number William Jordan Wagner JR. M.D. has the Individual type.

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1518903855 NPI number is provided on an as is basis without warranty of any kind. 1518903855 is maintained by the National Plan & Provider Enumeration System. The contents of William Jordan Wagner JR. M.D. are for informational purposes only.