CLAYTON WAGNER

TEMPLE, TX
NPI1285216630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10074878)
Enumeration Date2021-04-26
Last Update Date2021-04-26
Business Address
CLAYTON WAGNER MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2366
Mailing Address
CLAYTON WAGNER MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2366
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