Staggs, Deacon Wayne
Staggs, Deacon Wayne is an individual health care provider with primary practice located at 1776 Woodstead Ct Ste 208, The Woodlands TX 77380-1480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Staggs, Deacon Wayne can be contacted via phone (512) 382-4664.Contact Information
Primary practice address
1776 Woodstead Ct Ste 208
The Woodlands TX 77380-1480
Phone: (512) 382-4664
Fax: (512) 266-5601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | M9675 | Texas |
Profile Details
| NPI number | 1356551279 |
|---|---|
| LBN Legal business name | Staggs, Deacon Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Oct 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356551279 | NPPES |
| Texas | MEDICAID | 198193802 | |
| Texas | Other | 8BR156 | |
| Texas | MEDICAID | 198193801 |
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