NPI age
13 years
Enumerated 2012-08-02
● Active
Type 1 · Individual
Carolyn Wagner
Wagner is 1 of 12 pediatrics providers in Lake Jackson and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-08Enumerated in NPPES
2012
2026
Where they practice
Practice location
208 Oak Dr S Ste 400
Lake Jackson, TX 775665640
Mailing address
6431 Fannin St, Msb 3.020b
Houston, TX 770301501
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6431 Fannin St, Msb 3.020b
Houston, TX 770301501
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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