Graduated: 2015
NPI: 1780065755
Practice Locations (3)
HEALTHTEXAS PROVIDER NETWORK
3500 GASTON AVE, FL 1
DALLAS, TX 752462017
9728176100
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
JOHN ALLEN VAN WAGONER, MD, PA
5012 S US HWY 75, SUITE 150
DENISON, TX 750204594
9034638400
Source: CMS National Downloadable File, September 2026.