# TEXASTECH UNIVERSITY HEALTH SCIENCES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TexasTech UHSC ObGyn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962617399
- **Authorized official:** STEVEN M. WAGNER (MANAGING DIRECTOR)
- **Authorized official phone:** (915) 545-6664

## Contact information

- **Practice address:** 4801 ALBERTA AVE, EL PASO, TX 79905-2709
- **Practice address phone:** (915) 545-9795
- **Practice address fax:** (915) 545-9799
- **Mailing address:** PO BOX 9520, EL PASO, TX 79995-9520
- **Mailing address phone:** (915) 545-6664
- **Mailing address fax:** (915) 545-9799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VC0200X | Critical Care Medicine (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VC0200X | Critical Care Medicine (Obstetrics & Gynecology) Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 09/11/2025