Individual
DR. JAMISON MATTHEW WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1928 S SEGUIN AVE, #104, NEW BRAUNFELS, TX 78130-3910
(830) 627-7771
Mailing address
1928 S SEGUIN AVE, #104, NEW BRAUNFELS, TX 78130-3910
(830) 627-7771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10230
TX
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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