John Allen Van Wagoner, Md, PA

NPI #1942007653 in Murphy, Texas

Provider Information

NPI Number: 1942007653
Entity Type: Organization
Organization Name: John Allen Van Wagoner, Md, PA
Primary Specialty: Allergy & Immunology
Enumeration Date: Feb 28, 2025
Last Updated: Feb 28, 2025

Practice Location

Address: 703 E FM 544 STE 160
City: Murphy
State: Texas
ZIP Code: 75094-4027
Phone: (214) 764-2844

Authorized Official

Name: DR. JOHN A VAN WAGONER, MD
Title: PRESIDENT
Phone: (972) 398-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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