| Ryan David Wagner, MD | |
|
24510 Northwest Fwy Ste 630, Cypress, TX 77429-2199 | |
| (325) 333-7508 | |
| (832) 533-3751 |
| Full Name | Ryan David Wagner |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 10 Years |
| Location | 24510 Northwest Fwy Ste 630, Cypress, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245692086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | V2315 (Texas) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | V2315 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston, TX | Hospital |
| Houston Methodist Hospital | Houston, TX | Hospital |
| Houston Methodist The Woodlands Hospital | The woodlands, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmh Physicians And Surgeons, Pllc | 1557586070 | 28 |
| Entity Name | Tmh Physicians And Surgeons, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669894796 PECOS PAC ID: 1557586070 Enrollment ID: O20140625001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan David Wagner, MD 24510 Northwest Fwy Ste 630, Cypress, TX 77429-2199 Ph: (325) 333-7508 | Ryan David Wagner, MD 24510 Northwest Fwy Ste 630, Cypress, TX 77429-2199 Ph: (325) 333-7508 |
Shannon Isabel Kuruvilla, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 9899 Towne Lake Pkwy Ste 100, Cypress, TX 77433 Phone: 713-799-2278 | |
Dr. John Hugh Roff Iii, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21216 Northwest Fwy, Suite 530, Cypress, TX 77429 Phone: 281-807-6676 Fax: 281-807-6677 |