Derrick C Wagner, FNP-C

Nurse practitioner in Houston, Texas · NPI 1952685125

Derrick Wagner is one of 3,082 nurse practitioners practicing in Houston, Texas. Derrick Wagner practices with Memorial Hermann Hospital Based Physician Group.

Registry record (NPPES)

NPI
1952685125
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
3002 Sam Houston Dr
Victoria, TX 77904-2682
(361) 578-5730
Enumerated
Oct 5, 2011
Record last updated
Sep 25, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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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.