Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Other names
Texas Tech UHSC Neuropsychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M. WAGNER (MANAGING DIRECTOR)
(915) 545-6664
Entity
Organization
Contact information
Practice address
4615 ALAMEDA AVE, EL PASO, TX 79905-2702
(915) 545-6230
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-6664
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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