TARA T WAGNER

AUSTIN, TX
NPI1144422098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  N2876)
Enumeration Date2007-06-04
Last Update Date2019-01-10
Business Address
TARA T WAGNER M.D.
3501 MILLS AVE
AUSTIN, TX 78731
Phone number: 512-324-2080
Mailing Address
TARA T WAGNER M.D.
1601 TRINITY ST STOP Z0200
AUSTIN, TX 78712-1850
Phone number: 512-495-5512
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