NPI age
3 years
Enumerated 2022-11-17
● Active Type 2 · Organization
Wagoner Health Clinic, Pllc
Wagoner Health Clinic, Pllc is 1 of 987 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wagoner
Managing Member
Last NPPES update
2022-12-19
Source: monthly bulk 2026-05
How this organization compares
Across 987 active nurse practitioner providers in Texas.
NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1023 N Mound St Ste E
Nacogdoches, TX 759614453
Mailing address
1023 N Mound St Ste E
Nacogdoches, TX 759614453
Authorized official
Rebekah M Wagoner, APRN, FNP-C
Managing Member
📞 9367155353
Individual providers at this organization
2 individual providers on file at this primary practice address.
- James Wagoner, MSN, APRN, FNP-C Nurse Practitioner NPI 1104470988
- Rebekah Wagoner, APRN, FNP-C Nurse Practitioner NPI 1770130437
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Wagoner Family Health Clinic
-
Wagoner Family Health Clinic
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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