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Organization

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER

Active
Other names
Texas Tech UHSC Neurology
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) 545-6830
(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
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
2084N0400X
Neurology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2084P0005X
Neurodevelopmental Disabilities Physician
2084V0102X
Vascular Neurology Physician
Primary

Other

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