Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglass John Wacker, CPO

Individual provider Prosthetist · NPI 1790927192

Douglass John Wacker, CPO is a Prosthetist in Houston, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

3900 La Branch St
Houston, TX 77004-4046
Phone: (713) 524-3949
Fax: (713) 524-3915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 85 (TX)
Orthotist Taxonomy 222Z00000X · Licence 85 (TX)

Record details

NPI number1790927192
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedMarch 31, 2009
Last updated in NPPESNovember 30, 2016

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