Individual
DR. MANISHA WAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
224 E 2ND ST, DUMAS, TX 79029-3808
(806) 934-7839
(806) 394-7836
Mailing address
224 E 2ND ST, DUMAS, TX 79029-3808
(806) 934-7839
(806) 394-7836
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K1124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
855450
BCBS GROUP NUMBER
TX
Enumeration date
11/29/2006
Last updated
07/09/2007
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