MR. Randall Wagman, M.D.

NPI #1225033574 in Mansfield, Texas

Provider Information

NPI Number: 1225033574
Entity Type: Individual
Name: MR. Randall Wagman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 14, 2005
Last Updated: Feb 14, 2009

Practice Location

Address: 920 HIGHWAY 287 N
Address 2: STE 300
City: Mansfield
State: Texas
ZIP Code: 76063-2627
Phone: (817) 539-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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