Individual
SARAH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MPH
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-1291
Mailing address
7500 KIRBY DR, HOUSTON, TX 77030-4300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86087
IN
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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