Individual
BROOKE RUTH WAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2802 WEBBERVILLE RD, AUSTIN, TX 78702-2947
(512) 978-8130
Mailing address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
(512) 978-8130
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
U1789
TX
Other
Enumeration date
05/04/2020
Last updated
10/17/2025
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