| Wagner Medical Clinic L.l.p. | |
|
124 E Wolters 2nd Shiner TX 77984-7109 | |
| (361) 594-3824 | |
| Not Available |
| Full Name | Wagner Medical Clinic L.l.p. |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 E Wolters 2nd, Shiner, Texas |
| Authorized Official Name and Position | Ralph Wagner (MD) |
| Authorized Official Contact | 3615943824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Medical Clinic L.l.p. Po Box 965 Shiner TX 77984-0965 Ph: (361) 594-3824 | Wagner Medical Clinic L.l.p. 124 E Wolters 2nd Shiner TX 77984-7109 Ph: (361) 594-3824 |
| NPI Number | 1982685756 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 06/10/2010 |
| Medicare PECOS PAC ID | 9335108091 |
|---|---|
| Medicare Enrollment ID | O20041008000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982685756 | NPI | - | NPPES |
| 063629201 | Medicaid | TX | |
| 0T01U | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Drs Wagner & Wagner Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 E Wolters 2nd, Shiner, TX 77984 Phone: 361-594-3824 Fax: 361-594-4104 | |
Shiner Medical Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 E Wolters, Shiner, TX 77984 Phone: 361-594-3824 Fax: 361-594-3854 | |
Sievers Medical Clinic - Shiner Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 West 7th Street, Shiner, TX 77984 Phone: 361-239-5015 Fax: 830-672-8481 |