Wagner, Stuart M

Wagner, Stuart M is an individual health care provider with primary practice located at 4407 Bee Caves Rd. Bld.1, Suite 112, Austin TX 78746. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Wagner, Stuart M can be contacted via phone (512) 328-4999.

Contact Information

Primary practice address
4407 Bee Caves Rd. Bld.1, Suite 112 Austin TX 78746
Phone: (512) 328-4999
Fax: (512) 328-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 50428 Texas

Profile Details

NPI number 1750539144
LBN Legal business name Wagner, Stuart M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Mar 6th, 2013 - about 12 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 1750539144 NPPES
Texas MEDICAID 309341102
Texas MEDICAID 309341101

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