William W Wagnon Md Pa

LBN: William W Wagnon Md Pa
William W Wagnon Md Pa is an health care organization with primary practice located at 2801 S John Redditt Dr Suite B, Lufkin TX 75904-5666. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. William W Wagnon Md Pa can be contacted via phone (936) 632-6111, or through Wagnon, William W via phone (936) 632-6111.

Contact Information

Primary practice address
2801 S John Redditt Dr Suite B Lufkin TX 75904-5666
Fax: (936) 632-9182
Website:
Authorized official contact:
Name: Wagnon, William W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8596-TG Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F2087 Texas

Profile Details

NPI number 1619192192
LBN Legal business name William W Wagnon Md Pa
DBA Doing business as
Authorized official Wagnon, William W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 17th, 2007
Last updated Mar 17th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619192192 NPPES
Texas MEDICAID 093898701
Texas Other 1902895345

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