MR. CHARLES LEE WAGNON (NPI# 1457391617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457391617 |
| Entity Type | Individual |
| Full Name | MR. CHARLES LEE WAGNON |
| Credential | MD |
| Practice Address |
777 E Wheatland Rd Suite 102 Duncanville TX 75116 |
| Practice Telephone | 9722984981 |
| Practice Fax Number | 9722984984 |
| Mailing Telephone | 9722984981 |
| Mailing Fax Number | 9722984984 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D4346 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
777 E WHEATLAND RD SUITE 102 |
| City | DUNCANVILLE |
| State | TX |
| Zip Code | 75116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528034196 | Thomas Lane Dykes | Legal Medicine | 777 E Wheatland Rd, Suite 102, Duncanville, TX 75116-4918 | 2006-02-24 |
| 1477167088 | Kenya Evans | Case Manager/Care Coordinator | 777 E Wheatland Rd, Duncanville, TX 75116-4918 | 2020-09-01 |
| 1619374394 | Duncanville Children's Pediatric Care Pllc | Clinic/Center | 777 E Wheatland Rd, Suite 108, Duncanville, TX 75116-4918 | 2014-11-25 |
| 1720337173 | Rmb Foot and Ankle Center Pa | Podiatrist | 777 E Wheatland Rd, Suite 102, Duncanville, TX 75116-4918 | 2012-08-31 |
| 1013228162 | Prudential Pharmacy | Pharmacy | 777 E Wheatland Rd, #100, Duncanville, TX 75116-4918 | 2010-06-23 |
| 1649597691 | Thomas Lane Dykes, Jr., M.d., P.a. | Obstetrics & Gynecology | 777 E Wheatland Rd, Suite 102, Duncanville, TX 75116-4918 | 2010-04-30 |
| 1609955566 | Jane B Sandusky | General Practice | 777 E Wheatland Rd, Duncanville, TX 75116-4918 | 2006-11-03 |
| 1023067527 | Charles L Wagnon Md Pa | Obstetrics & Gynecology | 777 E Wheatland Rd, Suite 102, Duncanville, TX 75116 | 2006-05-10 |
| 1902854599 | Thomas L Buehler | Podiatrist | 777 E Wheatland Rd, Suite#104, Duncanville, TX 75116-4918 | 2006-05-05 |
| 1376506113 | Marshall Lynn Wright | Podiatrist | 777 E Wheatland Rd, Suite 107, Duncanville, TX 75116-4918 | 2006-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225677008 | V Yvette Ward | Massage Therapist | 210b S Cedar Ridge Dr., Ste. 101-a, Duncanville, TX 75116 | 2019-12-27 |
| 1740704212 | Kimberley Session-hunt | Non-emergency Medical Transport (VAN) | 818 Flamingo Way, Duncanville, TX 75116 | 2017-07-27 |
| 1497277867 | Tammy Britton | Contractor | 806 E. Cherry St, Duncanville, TX 75116 | 2017-07-07 |
| 1437698537 | Tanya Nicole Mcclendon | Chiropractor | 1414 W Wheatland Rd Ste 103, Duncanville, TX 75116 | 2017-02-22 |
| 1063966075 | Kizzy Price | Nurse Practitioner | 407 N Cedar Ridge Dr Ste 210, Duncanville, TX 75116 | 2016-08-08 |
| 1750754552 | Francisca Aninye | Nurse Practitioner | 408 E Camp Wisdom Rd, Duncanville, TX 75116 | 2015-11-03 |
| 1952705378 | Intouch Health Care Services, LLC | Home Health | 606 Oriole Blvd Ste 102, Duncanville, TX 75116 | 2014-10-14 |
| 1659684108 | Debra Ranae Freimuth | Physical Therapist | 515 N. Cedar Ridge, Suite 7-h, Duncanville, TX 75116 | 2010-07-26 |
| 1902123730 | Smiley Dental Oriole Pllc | Dentist | 702 Oriole Blvd, Duncanville, TX 75116 | 2010-05-04 |
| 1902033160 | Danielle Franklin | Dentist | 407 West Wheatland Road Suite 101, Duncanville, TX 75116 | 2009-06-16 |
| Find all providers in zip 75116 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265661078 | Charity T. Simmonds | Obstetrics & Gynecology | 939 Fairway Dr., Duncanville, TX 75137 | 2009-07-14 |
| 1225037641 | Ronald Lee Dotson | Obstetrics & Gynecology | 420 E Highway 67, Duncanville, TX 75137-4157 | 2005-07-18 |
| 1952679870 | Ronald L Dotson Md Pa | Obstetrics & Gynecology | 420 E Highway 67, Duncanville, TX 75137-4157 | 2011-12-06 |
| 1649597691 | Thomas Lane Dykes, Jr., M.d., P.a. | Obstetrics & Gynecology | 777 E Wheatland Rd, Suite 102, Duncanville, TX 75116-4918 | 2010-04-30 |
| 1023067527 | Charles L Wagnon Md Pa | Obstetrics & Gynecology | 777 E Wheatland Rd, Suite 102, Duncanville, TX 75116 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677067 | Rodriguez Health, LLC | Obstetrics & Gynecology | 107 N Smith St Ste B, Pleasanton, TX 78064-4109 | 2020-10-17 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1891303673 | Serenity Women's Health Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 355, Pearland, TX 77584-4114 | 2020-07-17 |
| 1659994069 | Carolina A Andrade | Obstetrics & Gynecology | 945 S Mesa Hills Dr Apt 3515, El Paso, TX 79912-5157 | 2020-05-20 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1952933913 | Gilbert G Sayegh Md, Pa | Obstetrics & Gynecology | 1004 Hobbs Hwy Ste 4, Seminole, TX 79360-3310 | 2020-02-07 |
| 1346880184 | Burke Womens Healthcare Pllc | Obstetrics & Gynecology | 4002 Burke Rd Ste 300, Pasadena, TX 77504-3451 | 2020-01-09 |
| 1386280337 | Women's Pavilion of Greater Houston | Obstetrics & Gynecology | 6051 Garth Rd Ste 700, Baytown, TX 77521-9807 | 2019-11-25 |
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| City | DUNCANVILLE |
| Zip Code | 75116 |
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| 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.