GRANT HULSE WAGNER (NPI# 1093835316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093835316 |
| Entity Type | Individual |
| Full Name | GRANT HULSE WAGNER |
| Credential | M.D. |
| Practice Address |
4730 College Dr 6515 Kemp Blvd, Wichita Falls, Tx 76308 Vernon TX 76384-4009 |
| Practice Telephone | 9405529901 |
| Mailing Telephone | 9405529901 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | D9702 | TX | Hospitals |
| Street Address |
4730 COLLEGE DR 6515 KEMP BLVD, WICHITA FALLS, TX 76308 |
| City | VERNON |
| State | TX |
| Zip Code | 76384-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245344472 | Health and Human Services Commission | Psychiatric Hospital | 4730 College Dr, Vernon, TX 76384-4009 | 2006-08-17 |
| 1255896312 | Michele Lynne Borynski | Psychologist | 4730 College Dr, Vernon, TX 76384-4009 | 2019-02-04 |
| 1225509631 | Michelle Renee Strange | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2018-12-10 |
| 1558736306 | Stephanie Clark Swalwell | Nurse Practitioner | 4730 College Dr, Adolescent Forensic Program, Vernon, TX 76384-4009 | 2015-12-04 |
| 1871997114 | Jeffrey Dobbins | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2014-10-15 |
| 1467853945 | Travis Franklin Graham-wyatt | Dentist | 4730 College Dr, Vernon, TX 76384-4009 | 2014-09-15 |
| 1306283346 | Francis Stodolink | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2013-05-31 |
| 1265781066 | Tameka Nicole Lewis | Psychologist | 4730 College Dr, Vernon, TX 76384-4009 | 2012-09-07 |
| 1154559789 | Nita L Patterson | Clinical Nurse Specialist | 4730 College Dr, Vernon, TX 76384-4009 | 2009-06-22 |
| 1790931962 | Rosa Linda Martinez | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2008-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097972 | Vera Marie Kemp | Registered Nurse | 2210 14th St, Vernon, TX 76384 | 2019-11-08 |
| 1477970598 | Vernon Smiles, PC | Dentist | 4409 Hillcrest Dr., Vernon, TX 76384 | 2014-03-26 |
| 1215138664 | Jc Parmer | Dentist | 220 Paradise St, Suite B, Vernon, TX 76384 | 2007-05-31 |
| 1013058486 | Northside Independent School District | Local Education Agency (LEA) | 18040 Hwy. 283, Vernon, TX 76384 | 2007-02-09 |
| 1316026602 | Babubhai M Patel | Internal Medicine | 4730 College St, Ntsh Vernon Campus, Vernon, TX 76384 | 2006-11-06 |
| 1992757579 | Vernon Care Center, L.p. | Durable Medical Equipment & Medical Supplies | 2301 Texas Street, Vernon, TX 76384 | 2006-05-16 |
| 1982655163 | City of Vernon | Ambulance | 4109 Wilbarger, Vernon, TX 76384 | 2006-05-13 |
| 1154395168 | Kimberly B. Horn | Occupational Therapist | 4301 College Drive, Suite 400, Vernon, TX 76384 | 2006-02-15 |
| 1316931835 | Wilbarger County Hospital District | Medicare Defined Swing Bed Unit | 920 Hillcrest Dr, Vernon, TX 76384 | 2005-09-12 |
| 1003388406 | Gustavo Alcantar Aleman Jr. | Nurse Practitioner | 4730 College Drive, Vernon, TX 76384 | 2018-12-23 |
| Find all providers in zip 76384 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053405175 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 245 Medical Clinic Dr, Vernon, AL 35592-5232 | 2006-10-03 |
| 1245344472 | Health and Human Services Commission | Psychiatric Hospital | 4730 College Dr, Vernon, TX 76384-4009 | 2006-08-17 |
| 1003190950 | Natchaug Hospital | Psychiatric Hospital | 428 Hartford Tpke, Suite 105, Vernon, CT 06066-4841 | 2011-10-10 |
| 1871614792 | Rajani P. Chaturvedula | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd., Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-04-02 |
| 1558481846 | Cecile G. Soliven | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1891815999 | Lynda B. Ovaert | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd., Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1841310075 | Nancy E. Barrow | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1255451555 | Lauren D. Parsons | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1366562696 | Peter G. Fadow | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1134249899 | Alexander M. Kalmanov | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Vernon, TX 76384-4009 | 2007-03-29 |
| Find all providers in VERNON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.