JERICA WAGNER

Specialist

Active Individual
NPI: 1306026547

Practice Address

120 E HOSPITAL DR
Angleton, TX 77515

Phone: (979) 849-2447

Specialties

Specialty Code Primary License
Specialist 174400000X Yes -

Frequently Asked Questions

NPI 1306026547 is the National Provider Identifier for JERICA WAGNER, a Specialist provider located in Angleton, TX. This NPI was enumerated on November 5, 2007.
JERICA WAGNER practices at 120 E HOSPITAL DR, Angleton, TX 77515.

Quick Facts

NPI
1306026547
Type
Individual
Enumerated
Nov 5, 2007
Last Updated
Nov 5, 2007

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