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

John Wagner, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1033320577

John Wagner, MD is a Child & Adolescent Psychiatry Physician in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2007
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

7330 Fern Ave Ste 704
Shreveport, LA 71105-4985
Phone: (318) 798-8261
Fax: (316) 798-8263
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence MD.201230 (LA)

Record details

NPI number1033320577
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESMay 22, 2019

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