Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MARC WAGNER (MANAGING DIRECTOR)
(915) 215-4478
Entity
Organization
Contact information
Practice address
2000 TRANS MOUNTAIN RD STE B, EL PASO, TX 79911-3602
(915) 215-5626
(915) 545-6984
Mailing address
4800 ALBERTA AVE, STE 101, EL PASO, TX 79905-2709
(915) 215-4478
(915) 545-5755
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
TX
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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