# TEXASTECH UNIVERSITY HEALTH SCIENCES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Tech UHSC Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104031004
- **Authorized official:** STEVEN M. WAGNER (MANAGING DIRECTOR)
- **Authorized official phone:** (915) 545-6664

## Contact information

- **Practice address:** 4801 ALBERTA AVE, EL PASO, TX 79905-2709
- **Practice address phone:** (915) 545-7507
- **Practice address fax:** (915) 545-9799
- **Mailing address:** PO BOX 9520, EL PASO, TX 79995-9520
- **Mailing address phone:** (915) 545-6664
- **Mailing address fax:** (915) 545-9795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | — |
| 2086S0120X | Pediatric Surgery Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 09/11/2025