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

Nicholas Wagner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578404646

Nicholas Wagner, MD is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Registered with an NPI since 2026.

In the registry since
2026
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

1400 8th Ave
Fort Worth, TX 76104-4110
Phone: (817) 926-2544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578404646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1400 8th Ave, Fort Worth, TX 76104-4110

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