Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wagoner Health Clinic, PLLC

Organization Primary Care Nurse Practitioner · NPI 1396454484

Wagoner Health Clinic, PLLC provides Primary Care Nurse Practitioner services in Nacogdoches, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1023 N Mound St Ste E
Nacogdoches, TX 75961-4453
Phone: (936) 305-4130
Fax: (936) 305-4127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1396454484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebekah Wagoner — Managing Member · (936) 715-5353
Other names Wagoner Family Health Clinic; Wagoner Family Health Clinic
NPI enumeratedNovember 17, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address1023 N Mound St Ste E, Nacogdoches, TX 75961-4453

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