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John A Vanwagoner

  • Male

Medical Specialty

Professional ID

  • NPI: 1053389502
  • PECOS ID: 9133253198
  • Enrollment ID: I20100813000139
  • Credential(MD, DO, DPM):
  • Medical School: University Of Texas Southwestern Medical School At Dallas
  • Medical School Graduation Year: 1996

Medical Practices

  • Organization Name: John Allen Van Wagoner, Md, Pa
  • Group Practice ID assigned by PECOS: 9335273390
  • Number of Group Practice member: 6

Location

  • Address1: 5012s Us Hwy 75 150
  • Address2:
  • City: Denison
  • State: Texas
  • Zip Code: 75020
  • Phone Number: (903)463-8400

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):