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Organization

ELIZABETH J WANNER, MD., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH JEAN WANNER MD., PA (PHYSICIAN/OWNER)
(281) 351-1411
Entity
Organization

Contact information

Practice address
1101 ALMA ST, STE 102, TOMBALL, TX 77375-4554
(281) 351-1411
(281) 351-0240
Mailing address
1101 ALMA ST, STE 102, TOMBALL, TX 77375-4554
(281) 351-1411
(281) 351-0240

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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