Randall Wagman, M.D. Valid NPI
Individual provider · Family Medicine Physician · Mansfield, TX
- NPI
- 1225033574
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- M8410 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-14
- Last updated
- 2009-02-14
Practice location
920 Highway 287 N, Ste 300
Mansfield, TX 76063-2627
(817) 539-0770