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Lisa Wagner
Medical Specialty Clinic/Center in Houston, Texas
NPI 1649384991

Lisa Wagner is a Medical Specialty Clinic/Center based in Houston, TX and is specialized in Medical Specialty. Lisa Wagner practices in Houston, TX. The NPI Number for Lisa Wagner is 1649384991 and holds a License No. 09909 (Texas).

The current practice location address for Lisa Wagner is 5420 Dashwood Dr, Houston, TX and can be reached out via phone at 713-839-9898 and via fax at 713-839-9494. You can also correspond with Lisa Wagner through the mailing address at 7619 PORTAL DR, HOUSTON, TX - 77071-1828 (mailing address contact number: 832-563-3237).

Location: 5420 Dashwood Dr, Houston, TX, 77071-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649384991
Provider Name
Lisa Wagner
Credential
Provider Entity Type
Organization
Address
5420 Dashwood Dr, Houston, TX, 77071-1828
Phone Number
713-839-9898
Fax Number
713-839-9494
Provider Enumeration Date
08/17/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180057501 05 TX
180057502 05 TX
09909 01 TX SOCIAL WORK LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
5420 Dashwood Dr
City
Houston
State
Texas
Zip
77081-5357
Phone Number
713-839-9898
Fax Number
713-839-9494
person
Provider Business Mailing Address Details
Address
7619 Portal Dr
City
Houston
State
Texas
Zip
77071-1828
Phone Number
832-563-3237
Fax Number
713-995-9348
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
()
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Family Planning, Non-Surgical
Taxonomy
261QF0050X
License No.
()
Definition
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
09909 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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