Michael Wayne Wagoner, DO

Family medicine physician in Keller, Texas · NPI 1902429749

Michael Wagoner is one of 37 family medicine physicians practicing in Keller, Texas. Michael Wagoner practices with Primary Health Physicians PLLC and Texomacare.

Registry record (NPPES)

NPI
1902429749
Type
Type 1 · Individual
Primary taxonomy
Family Medicine · 207Q00000X
Address on file
1109 Azure Ln
Celina, TX 75009-1798
(757) 971-0190
Enumerated
May 27, 2020
Record last updated
Jun 26, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Family Practice
Revalidation due
No date set by CMS

The registry stops here. NPivot keeps going.

  • Part D prescribing
  • Procedure volumes by CPT code
  • Group affiliations and colleagues
  • Full enrollment history
See the full profile free Free account. No card, no call.

Practice locations

More family medicine physicians in Keller

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.