KAREN D WAGNER


Address: 301 University Blvd, Rt 1022, Galveston, TX 77555-1022
Phone: 4097720848

KAREN D WAGNER (NPI# 1114085578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114085578
Entity Type Individual
Full Name KAREN D WAGNER
Credential MD
Practice Address 301 University Blvd
Rt 1022
Galveston
TX 77555-1022
Practice Telephone 4097720848
Practice Fax Number 4097720885
Mailing Telephone 4097720848
Mailing Fax Number 4097720885
Enumeration Date 2006-12-05
Last Update Date 2014-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
H7247 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 125044102 05

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1992054928 Karen L Wagner Counselor 212 11th St S, La Crosse, WI 54601-4397 2012-09-05

Office Location

Street Address 301 UNIVERSITY BLVD
RT 1022
City GALVESTON
State TX
Zip Code 77555-1022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396742714 Bagi Rp Jana Internal Medicine 301 University Blvd, Galveston, TX 77555-0565 2005-06-30
1023617685 Kimberly Joy Staton Nurse Practitioner 301 University Blvd, Galveston, TX 77555-5303 2020-10-23
1295333185 Adelina Mun See Leong Physician Assistant 301 University Blvd, Galveston, TX 77555-3205 2020-10-13
1245838341 Zachary Allen Helmick Physician Assistant 301 University Blvd, Galveston, TX 77555-5302 2020-10-12
1477150795 Mason Juehon Yu Physician Assistant 301 University Blvd, Galveston, TX 77555-5302 2020-10-09
1336746866 Hillary Mai Physician Assistant 301 University Blvd, Galveston, TX 77555-5302 2020-10-07
1699380139 Sanjai Naicheril Sabu Physician Assistant 301 University Blvd, Galveston, TX 77555-5302 2020-09-11
1497369409 Olusola Sogbein Internal Medicine 301 University Blvd, Galveston, TX 77555-0562 2020-09-08
1801409636 Anand Kumar Internal Medicine 301 University Blvd, Galveston, TX 77555-0100 2020-08-31
1235748633 Youlanda Martin-jones Family Medicine 301 University Blvd, Galveston, TX 77555-5302 2020-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053963389 Ruba Riachy Internal Medicine The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 2019-07-16
1700362670 Nidal Alhosainat Internal Medicine 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 2018-07-13
1275915282 Murtaza Mazhar Internal Medicine 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 2015-06-25
1124469531 Nisarg Shaileshbhai Shah Internal Medicine 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 2013-07-13
1912260860 Mohammed Fathi Zaidan Internal Medicine University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 2012-06-15
1639465925 Justin Blinn Anesthesiology 301 University Blvd # 2-a, Galveston, TX 77555 2011-06-24
1255532982 Miguel Mauricio Cabada Samame Internal Medicine 301 University Boulevard Rt 0435, Galveston, TX 77555 2007-05-30
1154945608 Elliot Blankespoor Anesthesiology 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 2020-06-01
1932699972 Sara Medsker Pediatrics 301 University Blvd., Galveston, TX 77555 2018-05-15
1134297666 Donna B Weaver Family Medicine 400 Harborside Dr, Galveston, TX 77555 2006-12-01
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649461831 Catherine Walsh Psychiatry & Neurology 301 University Blvd, Galveston, TX 77555-0193 2007-08-05
1447318894 Christopher R Thomas Psychiatry & Neurology 301 University Blvd, Route 1022, Galveston, TX 77555-5302 2006-12-05
1255499612 Dwight V Wolf Psychiatry & Neurology 301 University Blvd, Route 1022, Galveston, TX 77555-5302 2006-12-05
1134130297 Nga Anh Nguyen Psychiatry & Neurology 301 University Blvd, Rebecca Sealy, Room 3.258, Galveston, TX 77555-0195 2006-08-11

Providers in the same taxonomy and state

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1063039535 Sun Psychiatry Pllc Psychiatry & Neurology 12217 Sitting Bull Dr, El Paso, TX 79936-7891 2020-07-01
1942839113 Fort Physicians & Professionals Pllc Psychiatry & Neurology 7140 Oakmont Boulevard, Fort Worth, TX 76132 2020-04-08
1720613532 Ferruzzi Psychiatric Services, Pllc Psychiatry & Neurology 13409 Nw Military Hwy Ste 310, Shavano Park, TX 78231-1865 2020-03-12
1184276818 Cesar Alejandro Soutullo Esperon Psychiatry & Neurology Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 2019-07-12
1881255594 Aditya Sharma, Pllc Psychiatry & Neurology 4510 Medical Center Dr Ste 208, Mckinney, TX 75069-1602 2019-06-24
1154851590 Stat Md Pllc Psychiatry & Neurology 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 2017-06-18
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Competitor

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City GALVESTON
Zip Code 77555

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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