Thomas J Wagner (NPI# 1639131659, PAC ID# 5799749321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639131659 |
| PAC ID by PECOS | 5799749321 |
| Professional Enrollment ID | I20041115000294 |
| Full Name | Thomas J Wagner |
| Organization Legal Name | SCOTT AND WHITE CLINIC |
| Address |
808 6th St Hempstead TX 77445-5402 |
| Phone Number | 9798263341 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8123923604 |
| Number of Group Practice Members | 1739 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670088 | BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI |
| Address | Phone | Organization |
|---|---|---|
| 1700 University Dr E, Baylor Scott and White Clinic Colle, College Station, TX 77840-2661 | 9796913300 | SCOTT AND WHITE CLINIC |
| 1700 University Dr E Entrance 16, Care Clinic College Station University Drive, College Station, TX 77840-2661 | 9792073636 | SCOTT AND WHITE CLINIC |
| 808 6th St, Hempstead, TX 77445-5402 | 9798263341 | SCOTT AND WHITE CLINIC |
| 8264 State Hwy 6 Loop, Baylor Scott and White Clinic Navas, Navasota, TX 77868-6645 | 9792076100 | SCOTT AND WHITE CLINIC |
| Organization Legal Name | SCOTT AND WHITE CLINIC |
| Physicians | 1850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Nanette Keith | Nurse Practitioner | Scott and White Clinic | 2405 S S Clear Creek Rd, Suite 350, Killeen, TX 76549-5775 |
| Benjamin Joseph Klein | Psychologist, Clinical | Scott and White Clinic | 409 W Adams Ave, Temple, TX 76501-4211 |
| Michal Wolski | Radiation Oncology | Scott and White Clinic | 1605 S 31st St, Baylor Scott and White Center for Dia, Temple, TX 76508-0001 |
| Roger Shen | Family Medicine | Scott and White Clinic | 510 N Hewitt Dr, Baylor Scott and White Clinic Hewit, Hewitt, TX 76643-3038 |
| Oluwaseun O Olaiya | Internal Medicine | Scott and White Clinic | 1700 University E Dr, College Station University Drive, College Station, TX 77840-2661 |
| Kelsey Ann Houston | Nurse Practitioner | Scott and White Clinic | 1815 S 31st St, Baylor Scott and White Pavilion Temple, Temple, TX 76504-6728 |
| Phyllis Turner | Clinical Social Worker | Scott and White Clinic | 748 N Earl Rudder Fwy, Bryan Booneville Clinic, Bryan, TX 77802-2914 |
| Tove Martine Goldson | Family Medicine | Scott and White Clinic | 1402 W Ave H, Baylor Scott and White Clinic Templ, Temple, TX 76504-5342 |
| Amanda Beretta | Family Medicine | Scott and White Clinic | 3801 Scott and White Dr, Baylor Scott and White Clinic Kille, Killeen, TX 76541-5252 |
| Vikash Patel | Family Medicine | Scott and White Clinic | 1501 Pecan St W, Suite 101 102, Pflugerville, TX 78660-2543 |
| Street Address |
808 6TH ST |
| City | HEMPSTEAD |
| State | TX |
| Zip | 77445-5402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aurbrey H Eikenhorst | Nurse Practitioner | Scott and White Clinic | 808 6th St, Hempstead, TX 77445-5402 |
| Katherine E Alford | Physician Assistant | Scott and White Clinic | 808 6th St, Hempstead, TX 77445-5402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Lee Barber | Chiropractic | 1206 11th St, Hempstead, TX 77445-5260 |
| City | HEMPSTEAD |
| Zip Code | 77445 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HEMPSTEAD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas J Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.