Individual
DR. BEATRIX WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6300 JOHN RYAN DR, FORT WORTH, TX 76132-4122
(844) 244-3738
Mailing address
5141 SKYLINE DR, FRISCO, TX 75034-8867
(844) 284-3278
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23746
CA
Other
Enumeration date
10/30/2007
Last updated
09/02/2015
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