Organization · Type 2 NPI

Wagner Medical Clinic L.l.p.

Rural Health Clinic/Center · Moulton, TX

NPI number 1356322127 Active

Practice location

100 S Pecan
Moulton, TX 77975-0238

Mailing address

PO Box 965
Shiner, TX 77984-0965

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed
Physician Assistant 363A00000XPA11615

Rural Health Clinic/Center: Definition to come...

About NPI 1356322127

Wagner Medical Clinic L.l.p.'s National Provider Identifier is 1356322127, issued on Nov 9, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Moulton, TX. The record was last updated on Nov 2, 2017.