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MR. KENNETH W WAGNER PA-C
NPI 1700804309
Physician Assistant in Houston, TX

Active since July 18, 2006
17115 RED OAK DR, SUITE 211, HOUSTON, TX 77090(281) 719-9681(281) 791-0059 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2021, Mar 28, 2017 (2 updates tracked since 2017).

About Mr. Kenneth W Wagner Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH W WAGNER PA-C (NPI 1700804309) is an individual physician assistant in Houston, Texas, licensed in Texas (PA00865) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1700804309
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH W WAGNERCredential: PA-C
Location Address17115 RED OAK DR, SUITE 211Houston, TX 77090-2641
Mailing Address17070 Red Oak Dr, Ste 507Houston, TX 77090-2617 · (281) 719-9681 · Fax (281) 791-0059
Phone(281) 719-9681
Fax(281) 791-0059
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1700804309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00865
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA00865 (TX)
17115 RED OAK DR, Houston, TX 77090
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Other Identifiers 3

Medicaid198928701TX
Other87N250TX · Bcbs
Other8Y8598TX · Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMMY LYNN MAAZ MS, LPC
Counselor (Mental Health)
17115 RED OAK DR, 116
HOUSTON, TX 77090
Harris County (713) 318-2222
MARIA AMELIA GARRONE DDS
Dentist (General Practice)
17115 RED OAK DR
HOUSTON, TX 77090
Harris County (281) 587-2805
NORTH HOUSTON CARDIOLOGY PLLC
Internal Medicine (Interventional Cardiology)
17115 RED OAK DR, SUITE 121
HOUSTON, TX 77090
Harris County (281) 919-1888
SETHNA PSYCH ASSOCIATES, P.A.
Psychologist
17115 RED OAK DR, SUITE 220
HOUSTON, TX 77090
Harris County (281) 397-0200
JOSEPH H LIU, M.D., P.A.
Specialist
17115 RED OAK DR, SUITE 213
HOUSTON, TX 77090
Harris County (281) 580-9030
TOTAL SLEEP HOLDINGS, INC
Clinic/Center (Sleep Disorder Diagnostic)
17115 RED OAK DR, STE 216
HOUSTON, TX 77090
Harris County (281) 893-7499
VINONA VOHRA M.D.
Pediatrics
17115 RED OAK DR, 201
HOUSTON, TX 77090
Harris County (281) 444-9671
RED OAK PSYCHIATRY ASSOCIATES, P.A.
Specialist
17115 RED OAK DR, STE 109
HOUSTON, TX 77090
Harris County (281) 893-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Wagner's NPI number?

The NPI number for Kenneth Wagner is 1700804309. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Kenneth Wagner located?

Kenneth Wagner practices at 17115 Red Oak Dr Suite 211, Houston, TX 77090. The listed phone number is (281) 719-9681.

What is Kenneth Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Kenneth Wagner accept?

Health plans from Blue Cross and Blue Shield of Texas list Kenneth Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Wagner was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.