Michael Wayne Wagoner, DO | |
1109 Azure Ln, Celina, TX 75009-1798 | |
(757) 971-0190 | |
Not Available |
Full Name | Michael Wayne Wagoner |
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Gender | Male |
Speciality | Family Medicine |
Location | 1109 Azure Ln, Celina, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902429749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T5488 (Texas) | Primary |
Entity Name | Primary Health Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
Mailing Address | Practice Location Address |
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Michael Wayne Wagoner, DO 1109 Azure Ln, Celina, TX 75009-1798 Ph: (757) 971-0190 | Michael Wayne Wagoner, DO 1109 Azure Ln, Celina, TX 75009-1798 Ph: (757) 971-0190 |
Kevin J Shelton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1771 S Preston Rd, Celina, TX 75009 Phone: 972-382-1000 Fax: 972-382-1167 | |
Hong An Thi Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 S Preston Rd, Suite 130, Celina, TX 75009 Phone: 469-915-4825 Fax: 469-915-4841 | |
Kylee Barker, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 S Preston Rd Ste 104, Celina, TX 75009 Phone: 972-382-4466 | |
Dr. Sohail Ahmad Saeed, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N Preston Rd Ste 200, Celina, TX 75009 Phone: 972-382-3939 |