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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