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1407896616
ELISABETH A WAGNER
FORT WORTH, TX
NPI
1407896616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX M8411)
Enumeration Date
2006-06-07
Last Update Date
2011-10-07
Business Address
-- ELISABETH A WAGNER D.O.
1250 8TH AVENUE SUITE 435
FORT WORTH, TX 76104-4144
Phone number: 817-923-0088
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Mailing Address
-- ELISABETH A WAGNER D.O.
P. O. BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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