Individual
DIANA CYPRESS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 S. MAIN ST, FORT WORTH, TX 76104-4917
(214) 638-2000
(214) 631-6724
Mailing address
1355 RIVER BEND DRIVE, DALLAS, TX 75247-4915
(214) 638-2000
(214) 631-6724
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M3155
TX
Other
Enumeration date
06/24/2006
Last updated
03/11/2016
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