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

Carolyn Wagner

Individual provider Pediatrics Physician · NPI 1801142302

Carolyn Wagner is a Pediatrics Physician in Lake Jackson, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2012

Practice location Address checks out

208 Oak Dr S Ste 400
Lake Jackson, TX 77566-5640
Phone: (979) 285-2900
Show map & directions

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

Additional practice locations (1)

  • 6431 Fannin St, Houston, TX 77030-1501 — (713) 500-5800

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence Q3306 (TX)

Record details

NPI number1801142302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2012
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address6431 Fannin St, Msb 3.020b, Houston, TX 77030-1501

Other providers in Lake Jackson