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Timothy J Wagner, MD
Family Medicine Physician in Shiner, Texas
NPI 1851372619

Timothy J Wagner is a Family Medicine Physician based in Shiner, TX. Timothy J Wagner practices in Shiner, TX and has the professional credentials of MD. The NPI Number for Timothy J Wagner is 1851372619 and holds a License No. J0340 (Texas).

The current practice location address for Timothy J Wagner is 124 E Wolters 2Nd, Shiner, TX and can be reached out via phone at 361-594-3824 and via fax at 361-594-4104.

Location: 124 E Wolters 2Nd, Shiner, TX, 77984-0965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851372619
Provider Name
Timothy J Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
124 E Wolters 2Nd, Shiner, TX, 77984-0965
Phone Number
361-594-3824
Fax Number
361-594-4104
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
135624802 05 TX
836T776 01 TX BLUE CROSS
82Y592 01 TX BC
institution
Provider Business Practice Location Address Details
Address
124 E Wolters 2Nd
City
Shiner
State
Texas
Zip
77984-7109
Phone Number
361-594-3824
Fax Number
361-594-4104
person
Provider Business Mailing Address Details
Address
124 E Wolters 2Nd
City
Shiner
State
Texas
Zip
77984-7109
Phone Number
361-594-3824
Fax Number
361-594-4104
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
J0340 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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