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Organization

BRADLEY WAGGONER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY S WAGGONER MD (PRES)
(281) 955-8884
Entity
Organization

Contact information

Practice address
21216 NORTHWEST FWY, SUITE 540, CYPRESS, TX 77429-4695
(281) 640-8373
(281) 640-8377
Mailing address
21216 NORTHWEST FWY, SUITE 540, CYPRESS, TX 77429-4695
(281) 640-8373
(281) 640-8377

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
09/20/2006
Last updated
04/11/2008
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