Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790927192 Individual Practitioner Male Practitioner

Douglass John Wacker , CPO

Prosthetist • Houston, TX

Professional Overview & Biography Verified Profile Summary

Douglass Wacker, CPO is a registered healthcare professional specializing in Prosthetist in Houston, TX. Practice services are available at 3900 LA BRANCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3900 La Branch St

Houston, TX 770044046

Telephone 7135243949
Fax 7135243915
Associated Practice Facility / Clinic
🏢 Muilenburg Prosthetics, Inc. Facility NPI 1265488811

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Houston, TX (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License TX 85

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License TX 85

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PO0012 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1295172021

Certified Prosthetist Orthotist, LPO

Ted Muilenburg

Prosthetist

NPI 1619199619

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2016

Registered at 3900 LA BRANCH ST, HOUSTON, TX 770044046 (Tel: 7135243949)

📍
Updated Business Mailing Address November 30, 2016

Registered at 3900 LA BRANCH ST, HOUSTON, TX 770044046 (Tel: 7135243949)

👤
Provider Name / Credentials Updated November 30, 2016

Recorded as DOUGLASS WACKER, C.P.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Orthotist (License #85 in TX)

🟢
Initial NPI Registration & Enumeration March 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790927192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2009
Last Update: November 30, 2016
Sole Proprietor: No

Mailing Address

3900 La Branch St

Houston, TX 770044046

Phone: 7135243949

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.