Harold Wagner DO PA
Family Medicine, Geriatric Medicine in Dallas, TX. Organization (NPI-2).
NPI number1255438701
StatusActive
Last updated in NPPESMar 10, 2010
Details
- NPI
- 1255438701
- Entity type
- Organization (NPI-2)
- Legal business name
- Harold Wagner DO PA
- Organization subpart
- No
- Enumeration date
- Sep 19, 2006
- Last updated
- Mar 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
Other names
- Home Care Physicians (Doing Business As)
Practice location
7441 Marvin D Love FwySuite 300
Dallas, TX 75237-3490
Phone 972-572-1998 · Fax 942-572-4842
Mailing address
7441 Marvin D Love FwySuite 300
Dallas, TX 75237-3490
Phone 972-572-1998 · Fax 942-572-4842
Authorized official
Harold G Wagner
President
2144344031
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