Search › Texas › 2251S0007X
Michael Wagaman
NPI 1780378596 · on the registry since 2023
Practice
- Address
- 529 Industrial Blvd Ste 101
Grapevine, TX 76051 - Phone
- (817) 313-2988
Registry record
- Primary taxonomy
- 2251S0007X
2251S0007X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas