MEDICARE: SHARON F WAGER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	J2918	TX

General Provider Information

NPI Number	:	1194186684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON F WAGER MD PA

Provider Business Mailing Address
First Line	:	12202 QUAIL CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2215
Country	:	US
Telephone Number	:	281-755-7829
Fax Number	:

Provider Business Practice Location Address
First Line	:	12202 QUAIL CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2215
Country	:	US
Telephone Number	:	281-755-7829
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHARON FREEMAN WAGER
Credential	:	MD
Telephone Number	:	281-755-7829

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	03/11/2016

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