Organization Active NPI

Wvaz Medical Services PLLC

  • Family Medicine Physician
  • Brownsville, TX
National Provider Identifier
1639945579
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WVAZ MEDICAL SERVICES PLLC
Practice address
5770 Buckeye Court
Brownsville, TX 78526
Phone
(484) 929-6874
Fax
(361) 371-8373
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Dr. Wagner Jose Vaz Guimaraes, MDNPI 1659786044
Title
Physician/Ceo
Phone
(484) 929-6874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5770 Buckeye Court
Brownsville, TX 78526

Mailing address

6537 S Staples St Ste125 #348
Corpus Christ, TX 78413-5423
Phone (484) 929-6874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250327003821 TX Part B Supplier - Clinic/Group Practice 9335662501 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

710 Buffalo St
Ste 802
Corpus Christi, TX 78401
Phone (210) 866-3780

2500 Dallas Pkwy
Ste 500A
Plano, TX 75093

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1639945579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6537 S STAPLES ST STE125 #348",
            "city": "CORPUS CHRIST",
            "state": "TX",
            "postal_code": "784135423",
            "telephone_number": "484-929-6874",
            "fax_number": "361-371-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 BUCKEYE COURT",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "484-929-6874",
            "fax_number": "361-371-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WVAZ MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "VAZ GUIMARAES",
        "authorized_official_first_name": "WAGNER",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "484-929-6874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.