SCOTT BRIAN WAGNER

CORPUS CHRISTI, TX
NPI1679562516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  655472)
Enumeration Date2005-10-13
Last Update Date2011-09-23
Business Address
Mr. SCOTT BRIAN WAGNER CRNA
613 ELIZABETH ST SUITE 605
CORPUS CHRISTI, TX 78404-2220
Phone number: 361-883-6211
Mailing Address
Mr. SCOTT BRIAN WAGNER CRNA
6043 ENNIS JOSLIN RD
CORPUS CHRISTI, TX 78412-2805
Phone number: 361-992-3361
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