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Organization

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN MARC WAGNER PH.D. M.P.A. (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, 101, EL PASO, TX 79905
(915) 215-4478
(915) 545-5755

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
07/25/2016
Last updated
07/25/2016
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