# TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871042754
- **Authorized official:** MR. STEVEN MARC WAGNER (MANAGING DIRECTOR)
- **Authorized official phone:** (915) 215-4478

## Contact information

- **Practice address:** 2000 B TRANSMOUNTAIN ROAD, EL PASO, TX 79911
- **Practice address phone:** (915) 215-5626
- **Practice address fax:** (915) 545-6984
- **Mailing address:** 4800 ALBERTA AVE, STE 101, EL PASO, TX 79905-2709
- **Mailing address phone:** (915) 215-4478
- **Mailing address fax:** (915) 545-5755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TX | Yes |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 10/03/2016