Individual
AVERY FAITH WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 GREENWAY TRL, NEW BRAUNFELS, TX 78132-0103
(512) 887-0264
Mailing address
757 GREENWAY TRL, NEW BRAUNFELS, TX 78132-0103
(512) 887-0264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1102505
TX
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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