| Wagner Consultant Services | |
|
5420 Dashwood Dr Suite 210 Houston TX 77081-5357 | |
| (713) 839-9898 | |
| (713) 839-9494 |
| Full Name | Wagner Consultant Services |
|---|---|
| Speciality | Social Worker |
| Location | 5420 Dashwood Dr, Houston, Texas |
| Authorized Official Name and Position | Lisa D Wagner (SOCIAL WORKER) |
| Authorized Official Contact | 8325633237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Consultant Services 7619 Portal Dr Houston TX 77071-1828 Ph: (832) 563-3237 | Wagner Consultant Services 5420 Dashwood Dr Suite 210 Houston TX 77081-5357 Ph: (713) 839-9898 |
| NPI Number | 1649384991 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649384991 | NPI | - | NPPES |
| 180057501 | Medicaid | TX | |
| 180057502 | Medicaid | TX | |
| 09909 | Other | TX | SOCIAL WORK LICENSE NUMBER |
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