Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MARC WAGNER (MANAGING DIRECTOR)
(915) 215-4475
Entity
Organization
Contact information
Practice address
2000 TRANSMOUNTAIN ROAD, EL PASO, TX 79911
(915) 215-8408
(915) 612-9251
Mailing address
4800 ALBERTA AVE, 101, EL PASO, TX 79905-2709
(915) 215-4478
(915) 545-5755
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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