HAROLD G WAGNER D.O. NPI 1114015138

NPI Information

  • NPI: 1114015138
  • Provider Name: HAROLD G WAGNER, D.O.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • Address: 7441 MARVIN D LOVE FWY
    STE 300
    DALLAS, TX
    ZIP 75237
  • Phone: (972) 572-1998

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NPI Details

Harold G Wagner, D.O. is a geriatric medicine internal medicine in Dallas, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Harold G Wagner, D.O. NPI is 1114015138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7441 MARVIN D LOVE FWY
STE 300
DALLAS, TX
ZIP 75237-490
Phone: (972) 572-1998
Fax: (972) 572-4842

The enumeration date for this NPI number is 10/11/2006 and was last updated on 3/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineH6679TEXASNo
2207RG0300XInternal MedicineGeriatric MedicineH6679TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140123437MEDICAIDTEXAS
2E81851MEDICARE UPINTEXAS
3008PHOTHERTEXASBCBS PIN
4P00207035OTHERTEXASRAILROAD MEDICARE PIN
58D0136MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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