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Organization

TEXASTECH UNIVERSITY HEALTH SCIENCES CENTER

Active
Other names
Texas Tech UHSC Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN M. WAGNER (MANAGING DIRECTOR)
(915) 545-6664
Entity
Organization

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 545-7507
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-6664
(915) 545-9795

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
207Y00000X
Otolaryngology Physician
208200000X
Plastic Surgery Physician
208600000X
Surgery Physician
2086S0102X
Surgical Critical Care Physician
2086S0120X
Pediatric Surgery Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
2086S0127X
Trauma Surgery Physician
Primary

Other

Enumeration date
05/14/2007
Last updated
09/11/2025
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