Organization · Type 2 NPI
Wagoner Health Clinic, PLLC
Primary Care Nurse Practitioner · Nacogdoches, TX
NPI number
1396454484
Active
Practice location
1023 N Mound St Ste E
Nacogdoches, TX 75961-4453
Fax (936) 305-4127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1396454484
Wagoner Health Clinic, PLLC's National Provider Identifier is 1396454484, issued on Nov 17, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Nacogdoches, TX. The record was last updated on Dec 19, 2022.