institution
John Allen Van Wagoner, Md, Pa
Specialist in Plano, Texas
NPI 1316063993

John Allen Van Wagoner, Md, Pa is a Specialist based in Plano, TX. John Allen Van Wagoner, Md, Pa practices in Plano, TX. The NPI Number for John Allen Van Wagoner, Md, Pa is 1316063993 and holds a License No. K8854 (Texas).

The current practice location address for John Allen Van Wagoner, Md, Pa is 6101 Windcom Ct, Plano, TX and can be reached out via phone at 972-398-3500 and via fax at 972-398-3512.

Location: 6101 Windcom Ct, Plano, TX, 75093-7817
institution
Provider Profile Details
NPI Number
1316063993
Provider Name
John Allen Van Wagoner, Md, Pa
Credential
Provider Entity Type
Organization
Address
6101 Windcom Ct, Plano, TX, 75093-7817
Phone Number
972-398-3500
Fax Number
972-398-3512
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801958236 01 TX DR. SAMUEL FOSTER-NPI
200032370A 05 OK
142171101 05 TX
1053389502 01 TX DR JOHN VANWAGONER NPI
institution
Provider Business Practice Location Address Details
Address
6101 Windcom Ct
City
State
Zip
75093-7817
Phone Number
972-398-3500
Fax Number
972-398-3512
person
Provider Business Mailing Address Details
Address
6101 Windcom Ct
City
State
Zip
75093-7817
Phone Number
972-398-3500
Fax Number
972-398-3512
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
K8854 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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