Michael A Wagnon
DO | Pediatrics | Male
Michael A Wagnon, DO is a San Angelo, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael A Wagnon is
225 E Beauregard Ave, San Angelo, Texas - 76903-5920. He can be contacted on phone at
325-658-1511.
Michael A Wagnon is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael A Wagnon is
1992795645 which was assigned by NPPES on 25 Oct, 2005 and it was last updated on 22 Nov, 2011.
Michael A Wagnon license number is
K7486 for Pediatrics (208000000X) in Texas.
Michael A Wagnon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael A Wagnon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michael A Wagnon |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Michael A Wagnon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 225 E Beauregard Ave
San Angelo, TX, 76903-5920
United States |
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| Phone Number : | 325-658-1511 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992795645 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Oct, 2005 |
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| Last Updated On : | 22 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael A Wagnon are as mentioned. Primary taxonomy code for Michael A Wagnon, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | K7486 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Michael A Wagnon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 142727001 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 22000
San Angelo, TX, 76902-7200
United States |
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| Phone Number : | 325-658-1511 |
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Business Location:
Patients can refer following map for directions to
Michael A Wagnon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.