Individual
CARRIE ANN RENEE LITKE-WAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234
(210) 916-7078
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7078
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
010120242
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2007
Last updated
06/11/2018
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