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Organization

KATHRYN A. WAGNER, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN A WAGNER M.D. (OWNER)
(210) 277-6255
Entity
Organization

Contact information

Practice address
414 NAVARRO STREET, SUITE 1407, SAN ANTONIO, TX 78205-2516
(210) 277-6255
(210) 277-6256
Mailing address
414 NAVARRO STREET, SUITE 1407, SAN ANTONIO, TX 78205-2516
(210) 277-6255
(210) 277-6256

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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