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Organization
ELIZABETH J WANNER, MD., PA
Active
Organization
ELIZABETH J WANNER, MD., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JEAN WANNER MD., PA (PHYSICIAN/OWNER)
(281) 351-1411
Entity
Organization
Contact information
Practice address
1101 ALMA ST, STE 102, TOMBALL, TX 77375-4554
(281) 351-1411
(281) 351-0240
Mailing address
1101 ALMA ST, STE 102, TOMBALL, TX 77375-4554
(281) 351-1411
(281) 351-0240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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