Wanner Enterprise

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Legal business name

WANNER ENTERPRISE

Doing business as

Ewell Equipment Company

Practice address

307 N Timberland Dr
Lufkin, TX 75901

Phone

(936) 639-1391

NPI assigned

Apr 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Wanner

Title

President

Phone

(936) 639-1391

Specialties & licenses 1

Addresses

Other names 1

• Ewell Equipment Company Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1245737048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N TIMBERLAND DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N TIMBERLAND DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75901",
            "telephone_number": "936-639-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANNER ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-639-1391"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ewell Equipment Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Leigh Walker, ST
• Clintin Spencer Wallace
• Rebekah H Walsh
• Julianna Marie Walters, PT
• Kaitlyn Walters
• Audrey Denise Ward
• Jan C Ward, CCC/SLP
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• Amber Dawn Warner
• Warren Alyse Dental Group, PLLC

• Contractor in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.