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

Dr. Connor Wagner, MD

Individual provider Family Medicine Physician · NPI 1619593407

Dr. Connor Wagner, MD is a Family Practice in Jbsa Lackland, Texas. Graduated from University of New Mexico School of Medicine in 2020, 6 years ago. Practices with Tmc Provider Group PLLC, a 214-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
6
Trained at
University of New Mexico School of Medicine
Licensed in
NE
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-0515
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34103 (NE)

Record details

NPI number1619593407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Tmc Provider Group Pllc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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