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Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MARC WAGNER (MANAGING DIRECTOR)
(915) 215-4478
Entity
Organization
Contact information
Practice address
2000 B TRANSMOUNTAIN RD, EL PASO, TX 79911-3602
(915) 215-8408
(915) 612-9251
Mailing address
4800 ALBERTA AVE, STE 101, EL PASO, TX 79905-2709
(915) 215-4478
(915) 545-5755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/15/2016
Last updated
05/31/2017
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