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Organization

TEXAS TECH UNIVESITY HEALTH SCIENCES

Active
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Organization

TEXAS TECH UNIVESITY HEALTH SCIENCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN M. WAGNER (MANAGING DIRECTOR)
(915) 545-6664
Entity
Organization

Contact information

Practice address
4801 ALBERTA AVE., EL PASO, TX 79905-2709
(915) 545-9795
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—

Other

Enumeration date
03/06/2007
Last updated
09/17/2007
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