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

Jason Wagner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376003517

Jason Wagner is an Internal Medicine in Dallas, Texas. Graduated from University of Miami, Lm Miller School of Medicine in 2019, 7 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
TX
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone: (214) 648-9741
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence T5058 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376003517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing addressPo Box 845347, Dallas, TX 75284-5347

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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