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Individual

KAITLIN PAIGE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1250 8TH AVE STE 430, FORT WORTH, TX 76104-4144
(817) 923-0023
Mailing address
5547 EDWARDS RANCH RD APT 4111, FORT WORTH, TX 76109-4182
(318) 393-0236

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
U2352
TX

Other

Enumeration date
04/18/2019
Last updated
08/17/2023
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