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

Douglass John Wacker, CPO

Individual provider Prosthetist · NPI 1790927192

Douglass John Wacker, CPO is a Prosthetist in Houston, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
2

Practice location Address checks out

3900 La Branch St
Houston, TX 77004-4046
Phone: (713) 524-3949
Fax: (713) 524-3915
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 85 (TX)
Orthotist Taxonomy 222Z00000X · Licence 85 (TX)

Record details

NPI number1790927192
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedMarch 31, 2009
Last updated in NPPESNovember 30, 2016
Mailing address3900 La Branch St, Houston, TX 77004-4046

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