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Organization

DAVID R. WAGNER, DC, PLLC

Active
Other names
Slaughter Lane Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ROBERT WAGNER D.C. (OWNER/CHEIF OFFICER)
(512) 280-6212
Entity
Organization

Contact information

Practice address
2110 SLAUGHTER LN W STE 145, AUSTIN, TX 78748-5938
(512) 280-6212
(512) 535-3413
Mailing address
2110 SLAUGHTER LN W STE 145, AUSTIN, TX 78748-5938
(512) 280-6212
(512) 535-3413

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5492
TX

Other

Enumeration date
08/16/2006
Last updated
07/14/2008
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