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Mr. Kenneth W Wagner, PA-C
Physician Assistant in Houston, Texas
NPI 1700804309

Kenneth W Wagner is a Physician Assistant based in Houston, TX. Kenneth W Wagner practices in Houston, TX and has the professional credentials of PA-C. The NPI Number for Kenneth W Wagner is 1700804309 and holds a License No. PA00865 (Texas).

The current practice location address for Kenneth W Wagner is 17115 Red Oak Dr, Houston, TX and can be reached out via phone at 281-719-9681 and via fax at 281-791-0059. You can also correspond with Kenneth W Wagner through the mailing address at 17070 RED OAK DR, HOUSTON, TX - 77090-2617 (mailing address contact number: 281-719-9681).

Location: 17115 Red Oak Dr, Houston, TX, 77090-2617
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Provider Profile Details
NPI Number
1700804309
Provider Name
Kenneth W Wagner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
17115 Red Oak Dr, Houston, TX, 77090-2617
Phone Number
281-719-9681
Fax Number
281-791-0059
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y8598 01 TX BCBSTX
198928701 05 TX
87N250 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
17115 Red Oak Dr
City
State
Zip
77090-2641
Phone Number
281-719-9681
Fax Number
281-791-0059
person
Provider Business Mailing Address Details
Address
17115 Red Oak Dr
City
State
Zip
77090-2641
Phone Number
281-719-9681
Fax Number
281-791-0059
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00865 (Texas)
Definition
Definition to come...
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