Individual
ERIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22802 ELSINORE DR, KATY, TX 77450-1645
(713) 213-7866
Mailing address
PO BOX 7596, HOUSTON, TX 77270-7596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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