Provider Demographics
NPI:1528297256
Name:WAGLER, VANYA DAVID (DO)
Entity type:Individual
Prefix:DR
First Name:VANYA
Middle Name:DAVID
Last Name:WAGLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5800 KELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-1615
Mailing Address - Country:US
Mailing Address - Phone:940-260-8550
Mailing Address - Fax:888-510-8976
Practice Address - Street 1:5800 KELL BLVD STE 500
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1618
Practice Address - Country:US
Practice Address - Phone:940-260-8550
Practice Address - Fax:888-510-8976
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR2497207RR0500X, 207RR0500X
WI54992-21207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine