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

Wagoner Health Clinic, PLLC

Organization Primary Care Nurse Practitioner · NPI 1396454484

Wagoner Health Clinic, PLLC is a Primary Care Nurse Practitioner in Nacogdoches, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1023 N Mound St Ste E
Nacogdoches, TX 75961-4453
Phone: (936) 305-4130
Fax: (936) 305-4127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1396454484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebekah Wagoner — Managing Member · (936) 715-5353
Other names Wagoner Family Health Clinic; Wagoner Family Health Clinic
NPI enumeratedNovember 17, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address1023 N Mound St Ste E, Nacogdoches, TX 75961-4453

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