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Dr. Richard Gayle Wagner JR., MD
Student in an Organized Health Care Education/Training Program in Harlingen, Texas
NPI 1164126090

Richard Gayle Wagner JR. is a Student in an Organized Health Care Education/Training Program based in Harlingen, TX. Richard Gayle Wagner JR. practices in Harlingen, TX and has the professional credentials of MD. The NPI Number for Richard Gayle Wagner JR. is 1164126090 and holds a License No. (Texas).

The current practice location address for Richard Gayle Wagner JR. is 512 Victoria Ln Ste 13, Harlingen, TX and can be reached out via phone at 956-296-3821 and via fax at 956-296-3820.

Location: 512 Victoria Ln Ste 13, Harlingen, TX, 78550-3228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164126090
Provider Name
Richard Gayle Wagner JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
512 Victoria Ln Ste 13, Harlingen, TX, 78550-3228
Phone Number
956-296-3821
Fax Number
956-296-3820
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
512 Victoria Ln Ste 13
City
Harlingen
State
Texas
Zip
78550-3228
Phone Number
956-296-3821
Fax Number
956-296-3820
person
Provider Business Mailing Address Details
Address
512 Victoria Ln Ste 13
City
Harlingen
State
Texas
Zip
78550-3228
Phone Number
956-296-3821
Fax Number
956-296-3820
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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