Provider Demographics
NPI:1447561857
Name:WAGES, JAMES MICHAEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:WAGES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 MOORES LN
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-4609
Mailing Address - Country:US
Mailing Address - Phone:903-306-0711
Mailing Address - Fax:903-306-2577
Practice Address - Street 1:1802 MOORES LN
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4609
Practice Address - Country:US
Practice Address - Phone:903-306-0711
Practice Address - Fax:903-306-2577
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOFW2014023581207L00000X
MO2014023581207LP2900X
TXQ3305207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology