William W Wagnon M D P A
William W Wagnon M D P A is an Eyewear Supplier in Jasper, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
Practice location Address checks out
1421 S Wheeler StJasper, TX 75951-5149
Phone: (936) 632-6111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence F2087 (TX) |
|---|
Record details
| NPI number | 1154687747 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Wagnon — Owner · (936) 632-6111 |
| NPI enumerated | April 9, 2012 |
| Last updated in NPPES | June 22, 2012 |
| Mailing address | 1421 S Wheeler St, Jasper, TX 75951-5149 |