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

Mr. Kenneth W Wagner, PA-C

Individual provider Surgical Physician Assistant · NPI 1700804309

Mr. Kenneth W Wagner, PA-C is a Surgical Physician Assistant in Houston, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17115 Red Oak Dr Ste 211
Houston, TX 77090-2641
Phone: (281) 719-9681
Fax: (281) 791-0059
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00865 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00865 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1700804309
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021

Other providers in Houston