Wagner, Daniel B.

Wagner, Daniel B. is an individual health care provider with primary practice located at 6301 Harris Pkwy Ste 300 , Fort Worth TX 76132-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wagner, Daniel B. can be contacted via phone (817) 877-3432.

Contact Information

Primary practice address
6301 Harris Pkwy Ste 300 Fort Worth TX 76132-4245
Phone: (817) 877-3432
Fax: (817) 346-4394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M6450 Texas

Profile Details

NPI number 1750348314
LBN Legal business name Wagner, Daniel B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 11th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750348314 NPPES
Texas Other P00444159 RAIL ROAD MEDICARE
Texas MEDICAID 175143005 RAIL ROAD MEDICARE
Texas MEDICAID 330144201 RAIL ROAD MEDICARE

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