Individual provider · Type 1 NPI

Kurt John Wagner Iii, MD, MBA

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1245082494 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Mailing address

1801 Inwood Rd
Dallas, TX 75390-8883

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245082494

Kurt John Wagner Iii, MD, MBA's National Provider Identifier is 1245082494, issued on Apr 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 2, 2024.