An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
TX license #K8854taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (TX)
1053389502
DR JOHN VANWAGONER NPI
05 (TX)
142171101
05 (OK)
200032370A
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
SOUTHWEST ALLERGY AND ASTHMA CENTER
Type code 3recorded 2007-03-22
Practice context
Multi-provider organization.
5 individual providers on file at this primary address.
Plus 5 secondary practice locations.
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