MEDICARE: SHARON F WAGER M.D.

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	J2918	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518928894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON F WAGER M.D.

Provider Business Mailing Address
First Line	:	12202 QUAIL CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2215
Country	:	US
Telephone Number	:	281-251-1939
Fax Number	:	281-257-2594

Provider Business Practice Location Address
First Line	:	12202 QUAIL CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2215
Country	:	US
Telephone Number	:	281-251-1939
Fax Number	:	281-257-2594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	04/07/2009

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