Wayne Oliver Ghans, M.D.
Individual provider Active NPI Family Medicine Physician · Three Rivers, TX
NPI 1124099007 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1124099007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- H7739 (TX)
- Practice address
- 105 E Thornton
Three Rivers, TX 78071 - Phone
- (361) 786-3618
- Fax
- (361) 786-3649
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42019 | CO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42019 | CO | |
| Family Medicine Physician | 207Q00000X | H7739 | TX | Yes |
Addresses
Primary practice location
105 E Thornton
Three Rivers, TX 78071
Mailing address
310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone (830) 569-8940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42019 | Other | CO | STATE LICENSE |
Other providers in Three Rivers, TX
- Bird Management 1952, LLC
- Linlee Elizabeth Carbajal
- Rachel R Dockery
- Holly Christine Elzey
- Fci Three Rivers
- Jourdanton Hospital Corporation
- Linda Lewis, NP Wellness Center PLLC
- Live Oak County
- Damaris Marquez
- Bianca Crystal Montalvo
All providers in Three Rivers, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.