Individual provider · Type 1 NPI

Kenneth W. Wagner, PA-C

Physician Assistant · Houston, TX

NPI number 1700804309 Active

Practice location

17115 Red Oak Dr, Suite 211
Houston, TX 77090-2641

Call (281) 719-9681 Map

Fax (281) 791-0059

Mailing address

17070 Red Oak Dr, Ste 507
Houston, TX 77090-2617

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA00865 (TX)
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000XPA00865 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700804309

Kenneth W. Wagner, PA-C's National Provider Identifier is 1700804309, issued on Jul 18, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Houston, TX. The record was last updated on Apr 29, 2021.