JOHN ALLEN VAN WAGONER M.D. P.A.
Osteopathic Medicine in Denton, TX

License number
Texas K8854
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: DR. JOHN A. VAN WAGONER MD PA
Title: OWNER/PRESIDENT
Phone: (972) 398-3500
Address
Address 2
3105 Colorado Blvd. STE 150, Denton, TX 76210
6101 Windcom Ct STE 400, Plano, TX 75093
National Provider ID: 1649592205
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN ALLEN VAN WAGONER, M.D., PA

6101 Windcom Ct STE 400, Plano, TX 75093

Registration:
Nov 12, 2003
State ID:
0800270708
Agent:
Saunders Walsh Beard,6850 Tpc Dr SUITE 210, McKinney, TX 75070 (Physical)
TIN:
32035692824

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