ELISABETH A WAGNER

FORT WORTH, TX
NPI1407896616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: TX  M8411)
Enumeration Date2006-06-07
Last Update Date2011-10-07
Business Address
-- ELISABETH A WAGNER D.O.
1250 8TH AVENUE SUITE 435
FORT WORTH, TX 76104-4144
Phone number: 817-923-0088
Mailing Address
-- ELISABETH A WAGNER D.O.
P. O. BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400