NPI age
20 years
Enumerated 2005-11-09
● Active Type 2 · Organization
Wagner Medical Clinic L.l.p.
Wagner Medical Clinic L.l.p. is 1 of 689 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wagner
MD
Last NPPES update
2017-11-02
Source: monthly bulk 2026-05
How this organization compares
Across 689 active clinic/center providers in Texas.
NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 25% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
100 S Pecan
Moulton, TX 779750238
Mailing address
Po Box 965
Shiner, TX 779840965
Authorized official
Ralph Wagner, MD
MD
📞 3615943824
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 063662301 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Moulton Clinic
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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