SearchTexas207XS0114X

Daniel Wagner, D.O

NPI 1750348314 · on the registry since 2006

Practice

Address
2901 Acme Brick Plz
Fort Worth, TX 76109
Phone
(817) 529-1900
Fax
(817) 529-1910
Organisation at this address
Clearfork Pharmacy, Llc
Michael H Boothby, Md Pa
Texas Health Physician Affiliates Blue Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
207XS0114X
207XS0114X
Also registered as
207XX0005X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas