Individual
CHRISTINE W WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, PAVILION F 5114, DALLAS, TX 75235-7701
(214) 456-4597
(214) 456-8317
Mailing address
1935 MEDICAL DISTRICT DR, PAVILION F 5114, DALLAS, TX 75235-7701
(214) 456-4597
(214) 456-8317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
449805
TX
Other
Enumeration date
07/17/2006
Last updated
08/04/2008
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