Dr. Richard Downs Wagner, D.O.
Obstetrics & Gynecology in Dallas, TX. Individual provider (NPI-1).
Details
- NPI
- 1114337334
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Downs Wagner
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2014
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | R6704 | TX | Yes |
Practice location
3801 Gaston Ave Ste 200Dallas, TX 75246-2536
Phone 214-823-9630
Mailing address
Po Box 612526Dallas, TX 75261-2526
Phone 972-256-3700 · Fax 866-630-6348
Other practice locations
Irving, TX 75062-3675
Phone 972-256-3700 · Fax 866-630-6348
Euless, TX 76040-3902
Phone 972-256-3700 · Fax 866-630-6348
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