Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M. WAGNER (MANAGING DIRECTOR)
(915) 783-8164
Entity
Organization
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 783-8164
(915) 783-8187
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 783-8164
(915) 783-8187
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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