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1124014659
KEITH A WAGUESPACK
IRVING, TX
NPI
1124014659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: TX L7918)
Enumeration Date
2005-09-20
Last Update Date
2019-07-17
Business Address
KEITH A WAGUESPACK MD
2021 N MACARTHUR BLVD STE 450
IRVING, TX 75061
Phone number: 866-367-8768
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Mailing Address
KEITH A WAGUESPACK MD
5001 S COOPER ST STE 201
ARLINGTON, TX 76017-5993
Phone number: 866-367-8768
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