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Michael Wayne Wagoner, DO
Student in an Organized Health Care Education/Training Program in Sherman, Texas
NPI 1902429749

Michael Wayne Wagoner is a Student in an Organized Health Care Education/Training Program based in Sherman, TX. Michael Wayne Wagoner practices in Sherman, TX and has the professional credentials of DO. The NPI Number for Michael Wayne Wagoner is 1902429749 and holds a License No. T5488 (Texas).

The current practice location address for Michael Wayne Wagoner is 809 Gallagher Dr Ste D, Sherman, TX and can be reached out via phone at 903-771-2846 and via fax at 903-771-2849.

Location: 809 Gallagher Dr Ste D, Sherman, TX, 75090-1754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902429749
Provider Name
Michael Wayne Wagoner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
809 Gallagher Dr Ste D, Sherman, TX, 75090-1754
Phone Number
903-771-2846
Fax Number
903-771-2849
Provider Enumeration Date
05/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
809 Gallagher Dr Ste D
City
Sherman
State
Texas
Zip
75090-1754
Phone Number
903-771-2846
Fax Number
903-771-2849
person
Provider Business Mailing Address Details
Address
809 Gallagher Dr Ste D
City
Sherman
State
Texas
Zip
75090-1754
Phone Number
903-771-2846
Fax Number
903-771-2849
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
BP10071692 (Utah)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
T5488 (Texas)
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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