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
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Physician Assistant | 363A00000X | PA11615 |
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.