Wagner, Derrick C

Wagner, Derrick C is an individual health care provider with primary practice located at 3002 Sam Houston Dr , Victoria TX 77904-2682. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Wagner, Derrick C can be contacted via phone (361) 578-5730.

Contact Information

Primary practice address
3002 Sam Houston Dr Victoria TX 77904-2682
Phone: (361) 578-5730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP120984 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 737124 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP120984 Texas

Profile Details

NPI number 1952685125
LBN Legal business name Wagner, Derrick C
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2011
Last updated Oct 4th, 2023 - about 3 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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