Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCESC CTR.
Active
Other names
Texas Tech Univ. Health Sciences Ctr. Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M. WAGNER (MANAGING DIRECTOR)
(915) 545-6664
Entity
Organization
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2702
(915) 545-9795
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
TX
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
Other
Enumeration date
03/20/2007
Last updated
09/11/2025
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