ASHLEY WAGNER
Preventive Medicine - Sports Medicine
Active
Individual
NPI: 1104382936
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preventive Medicine - Sports Medicine | 2083S0010X | Yes | AT5055 (TX) |
Frequently Asked Questions
NPI 1104382936 is the National Provider Identifier for ASHLEY WAGNER, a Preventive Medicine - Sports Medicine provider located in Austin, TX. This NPI was enumerated on February 18, 2019.
ASHLEY WAGNER practices at 3724 EXECUTIVE CENTER DR STE G10, Austin, TX 78731.
Quick Facts
- NPI
- 1104382936
- Type
- Individual
- Enumerated
- Feb 18, 2019
- Last Updated
- Feb 18, 2019
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