DOUGLASS JOHN WACKER C.P.O.
NPI 1790927192
Prosthetist in Houston, TX

Q: What is Douglass Wacker's NPI number?

The NPI number for Douglass Wacker is 1790927192. It was assigned to this individual provider in the NPPES registry on March 31, 2009.

Q: What is Douglass Wacker's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglass Wacker was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 31, 2009

3900 LA BRANCH ST, HOUSTON, TX 77004(713) 524-3949(713) 524-3915 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Douglass John Wacker C.p.o. NPPES

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

DOUGLASS JOHN WACKER C.P.O. (NPI 1790927192) is an individual prosthetist provider in Houston, Texas, licensed in Texas (85) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1790927192

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameDOUGLASS JOHN WACKERCredential: C.P.O.

Location Address3900 LA BRANCH STHouston, TX 77004-4046

Mailing Address3900 La Branch StHouston, TX 77004-4046 · (713) 524-3949 · Fax (713) 524-3915

Phone(713) 524-3949

Fax(713) 524-3915

Sole ProprietorNo

Enumeration DateMarch 31, 2009

Last NPPES UpdateNovember 30, 2016

✔ NPI 1790927192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed in TX · 85

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Also ListedOrthotistTaxonomy 222Z00000X · License 85 (TX)

3900 LA BRANCH ST, Houston, TX 77004

Open in Google Maps ↗

Other Identifiers 2

MedicaidPO0012TX

Medicare NSC0210750001TX

Other Providers at the Same Location NPPES 2

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

MUILENBURG PROSTHETICS, INC.

Prosthetic/Orthotic Supplier

3900 LA BRANCH ST
HOUSTON, TX 77004

Harris County (713) 524-3949

TED B MUILENBURG

Prosthetist

3900 LA BRANCH ST
HOUSTON, TX 77004

Harris County (713) 524-3949

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 Douglass Wacker's NPI number?

The NPI number for Douglass Wacker is 1790927192. It was assigned to this individual provider in the NPPES registry on March 31, 2009.

Where is Douglass Wacker located?

Douglass Wacker practices at 3900 La Branch St, Houston, TX 77004. The listed phone number is (713) 524-3949.

What is Douglass Wacker's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Douglass Wacker was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.