Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

T W Wagner Inc

Organization Family Medicine Physician · NPI 1114734969

T W Wagner Inc is a Family Medicine Physician in Lepanto, Arkansas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

730 Greenwood Ave
Lepanto, AR 72354-3215
Phone: (870) 475-3825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1114734969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tommy Wagner — Owner/Operator · (870) 561-3300
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing addressPo Box 910, Manila, AR 72442-0910

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