Individual
RYAN DAVID WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24510 NORTHWEST FWY STE 630, CYPRESS, TX 77429-2199
(325) 333-7508
(832) 533-3751
Mailing address
24510 NORTHWEST FWY STE 630, CYPRESS, TX 77429-2199
(325) 333-7508
(832) 533-3751
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
V2315
TX
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
V2315
TX
Other
Enumeration date
03/22/2016
Last updated
10/14/2024
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