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1184613663
ELIZABETH WAGNER CARTER
FORT WORTH, TX
NPI
1184613663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX G0246)
Enumeration Date
2005-10-18
Last Update Date
2012-12-17
Business Address
Dr. ELIZABETH WAGNER CARTER M.D.
1400 S MAIN ST LIFESPAN CLINIC
FORT WORTH, TX 76104-4909
Phone number: 817-702-8360
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Mailing Address
Dr. ELIZABETH WAGNER CARTER M.D.
1223 S MAIN ST
FORT WORTH, TX 76104-4804
Phone number: 817-702-7301
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