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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 ROAD, EL PASO, TX 79911
(915) 215-5626
(915) 545-6984
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
Primary
—
TX
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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